Basic Information
Provider Information
NPI: 1699826826
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BACHMAN
FirstName: CHERYL
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: CNM
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 24 FRANK LLOYD WRIGHT DR
Address2: P.O. BOX 0446, LOBBY J
City: ANN ARBOR
State: MI
PostalCode: 481059407
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 4200 WHITEHALL DR
Address2: SUITE 330
City: ANN ARBOR
State: MI
PostalCode: 48105
CountryCode: US
TelephoneNumber: 7345729600
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/15/2007
LastUpdateDate: 06/26/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367A00000X4704143997MIY Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

No ID Information.


Home