Provider Demographics
NPI:1710251517
Name:BACHMAN, JOHN F (COF)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:F
Last Name:BACHMAN
Suffix:
Gender:M
Credentials:COF
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3540 CLEMMONS ROAD
Mailing Address - Street 2:SUITE 124
Mailing Address - City:CLEMMONS
Mailing Address - State:NC
Mailing Address - Zip Code:27012-9396
Mailing Address - Country:US
Mailing Address - Phone:336-602-1668
Mailing Address - Fax:866-211-2286
Practice Address - Street 1:3540 CLEMMONS ROAD
Practice Address - Street 2:SUITE 124
Practice Address - City:CLEMMONS
Practice Address - State:NC
Practice Address - Zip Code:27012-9396
Practice Address - Country:US
Practice Address - Phone:336-602-1668
Practice Address - Fax:866-211-2286
Is Sole Proprietor?:No
Enumeration Date:2012-02-27
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NCC50591225000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter