Individual
DR. JEFFREY DALE BACHTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
182 EAST AVE, TALLMADGE, OH 44278-2311
(330) 360-9726
(330) 630-2194
Mailing address
812 KINGS CROSS, TALLMADGE, OH 44278-1175
(330) 630-0866
(330) 630-0520
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-048309
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0541284
—
OH
Enumeration date
04/26/2006
Last updated
02/18/2010
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