Healthcare Provider Details

I. General information

NPI: 1255038261
Provider Name (Legal Business Name): BTEP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2023
Last Update Date: 02/10/2023
Certification Date: 02/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 S CHURCH ST
CHARLOTTE NC
28202-3213
US

IV. Provider business mailing address

1030 EDGEHILL RD S APT 306
CHARLOTTE NC
28207-1874
US

V. Phone/Fax

Practice location:
  • Phone: 704-980-2742
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. HERB BOWEN
Title or Position: FOUNDER
Credential:
Phone: 980-327-9677