Provider Demographics
NPI:1063560233
Name:BARTEL, MICHAEL ROBERT (DC)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ROBERT
Last Name:BARTEL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:721 HANOVER PIKE
Mailing Address - Street 2:SUITE 149
Mailing Address - City:HAMPSTEAD
Mailing Address - State:MD
Mailing Address - Zip Code:21074-2033
Mailing Address - Country:US
Mailing Address - Phone:410-374-9355
Mailing Address - Fax:410-861-5384
Practice Address - Street 1:721 HANOVER PIKE
Practice Address - Street 2:SUITE 149
Practice Address - City:HAMPSTEAD
Practice Address - State:MD
Practice Address - Zip Code:21074-2033
Practice Address - Country:US
Practice Address - Phone:410-374-9355
Practice Address - Fax:410-861-5384
Is Sole Proprietor?:No
Enumeration Date:2007-01-06
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS02174111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCU945OtherBLUE CROSS / BLUE SHIELD
MDD0XGMROtherBLUE CROSS / BLUE SHIELD