Provider Demographics
NPI:1144484825
Name:BACHTEL, ANN MARI
Entity type:Individual
Prefix:MS
First Name:ANN
Middle Name:MARI
Last Name:BACHTEL
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ANNIE
Other - Middle Name:
Other - Last Name:BACHTEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1711 ERIE ST S
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44646-7910
Mailing Address - Country:US
Mailing Address - Phone:330-371-7606
Mailing Address - Fax:
Practice Address - Street 1:1711 ERIE ST S
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44646-7910
Practice Address - Country:US
Practice Address - Phone:330-371-7606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-11
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2861943Medicaid