Provider Demographics
NPI:1528232089
Name:BITTEL, SAMUEL N (AUD)
Entity Type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:N
Last Name:BITTEL
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6650 W 110TH ST STE 330
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1501
Mailing Address - Country:US
Mailing Address - Phone:913-521-9090
Mailing Address - Fax:913-521-9955
Practice Address - Street 1:6650 W 110TH ST STE 330
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1501
Practice Address - Country:US
Practice Address - Phone:913-521-9090
Practice Address - Fax:913-521-9955
Is Sole Proprietor?:No
Enumeration Date:2008-04-16
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015029992231H00000X, 231H00000X
KS2152231H00000X
KS1421231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist