Individual
DR. MICHAEL PATRICK BARTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
400 VIRGINIA AVE STE 114, NORTH BEND, OR 97459-3477
(541) 808-9697
(541) 808-9699
Mailing address
400 VIRGINIA AVE STE 114, NORTH BEND, OR 97459-3477
(630) 205-9000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038-007339
IL
111N00000X
Chiropractor
Primary
5921
OR
111N00000X
Chiropractor
CHR0006933
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4527478
BLUE CROSS BLUE SHIELD
—
Enumeration date
09/16/2006
Last updated
01/12/2021
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