Provider Demographics
NPI:1003911843
Name:BARTELMANN, REINHARD H (MS, DC)
Entity Type:Individual
Prefix:DR
First Name:REINHARD
Middle Name:H
Last Name:BARTELMANN
Suffix:
Gender:M
Credentials:MS, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 DREXEL ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01602-1227
Mailing Address - Country:US
Mailing Address - Phone:508-579-9064
Mailing Address - Fax:
Practice Address - Street 1:8 DREXEL ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01602-1227
Practice Address - Country:US
Practice Address - Phone:508-579-9064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2017-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1535111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MABA Y36060OtherBCBS PROVIDER NUMBER
MABA Y36060OtherBCBS PROVIDER NUMBER