Provider Demographics
NPI:1780271528
Name:BARTFAY, ALEXANDER GRIER (DODD PROVIDER)
Entity type:Individual
Prefix:MR
First Name:ALEXANDER
Middle Name:GRIER
Last Name:BARTFAY
Suffix:
Gender:M
Credentials:DODD PROVIDER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4040 N HIGH STREET
Mailing Address - Street 2:APT 25
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214
Mailing Address - Country:US
Mailing Address - Phone:740-972-9919
Mailing Address - Fax:
Practice Address - Street 1:4040 N HIGH STREET
Practice Address - Street 2:APT 25
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214
Practice Address - Country:US
Practice Address - Phone:740-972-9919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-28
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2573194374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide