Provider Demographics
NPI:1508938184
Name:BECHTEL, BARBARA ANN (CNM, MS, LM)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:ANN
Last Name:BECHTEL
Suffix:
Gender:F
Credentials:CNM, MS, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 WEBSTER AVE APT 1M
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-1429
Mailing Address - Country:US
Mailing Address - Phone:347-663-9101
Mailing Address - Fax:646-741-2135
Practice Address - Street 1:345 WEBSTER AVE APT 1M
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-1429
Practice Address - Country:US
Practice Address - Phone:347-663-9101
Practice Address - Fax:646-741-2135
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2015-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN090000057A176B00000X
NYF001477367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200169710Medicaid
IN200169710Medicaid