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NPI Code Detail

MEDICARE: MR. CHRISTOPHER ANDREW BACHMANN BSMT

MEDICARE: MR. CHRISTOPHER ANDREW BACHMANN BSMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1962888669
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHRISTOPHER ANDREW BACHMANN BSMT
Provider Business Mailing Address
First Line : 33 OAK KNOLL PL
Second Line :
City : BELLEVILLE
State : IL
Zip : 62223-1880
Country : US
Telephone Number : 618-409-8150
Fax Number :
Provider Business Practice Location Address
First Line : 4220 N GRAND BLVD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63107-1831
Country : US
Telephone Number : 314-534-6624
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2015
Last Update Date : 08/04/2015

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