Individual
BETTY JENNELL BACH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
211 SAINT FRANCIS DR, CAPE GIRARDEAU, MO 63703-5049
(573) 331-3000
(913) 341-5797
Mailing address
211 SAINT FRANCIS DR, CAPE GIRARDEAU, MO 63703-5049
(573) 331-3000
(913) 341-5797
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
041343
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110375
HEALTHLINK
MO
01
—
166636
BCBS
MO
01
—
A155
CHAMPUS TRICARE
MO
01
—
P00035293
RAILROAD MEDICARE
MO
Enumeration date
04/06/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us