Basic Information
| Provider Information | |||||||||
| NPI: | 1851566558 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BARTELS | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | D | ||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 320 LILLINGTON AVE | ||||||||
| Address2: | |||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282043188 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7043321574 | ||||||||
| FaxNumber: | 7723323275 | ||||||||
| Practice Location | |||||||||
| Address1: | 320 LILLINGTON AVE | ||||||||
| Address2: | |||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282043188 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7043321574 | ||||||||
| FaxNumber: | 7723323275 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/24/2008 | ||||||||
| LastUpdateDate: | 04/24/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | 275 | NC | Y | Speech, Language and Hearing Service Providers | Audiologist |
No ID Information.