Provider Demographics
NPI:1942771555
Name:BARTHE, CARL (RRT)
Entity Type:Individual
Prefix:
First Name:CARL
Middle Name:
Last Name:BARTHE
Suffix:
Gender:M
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6810 DI LUSSO DR APT 186
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-5889
Mailing Address - Country:US
Mailing Address - Phone:772-621-0792
Mailing Address - Fax:
Practice Address - Street 1:6810 DI LUSSO DR APT 186
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-5889
Practice Address - Country:US
Practice Address - Phone:772-621-0792
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-07
Last Update Date:2018-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39364227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered