Individual
DR. RICHARD WENDELL BOTHFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D., F-AAA, C-AAA
Contact information
Practice address
312 WATER ST, GARDINER, ME 04345-2159
(207) 481-9900
(207) 536-5306
Mailing address
312 WATER ST, GARDINER, ME 04345-2159
(207) 481-9900
(207) 536-5306
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
A441
NH
231H00000X
Audiologist
Primary
AP1990
ME
231HA2500X
Assistive Technology Supplier Audiologist
A441
NH
231HA2500X
Assistive Technology Supplier Audiologist
AP1990
ME
237600000X
Audiologist-Hearing Aid Fitter
A441
NH
237600000X
Audiologist-Hearing Aid Fitter
AP1990
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009099
—
VT
05
—
30210958
—
NH
Enumeration date
10/06/2006
Last updated
09/18/2024
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