Bothfeld, Richard Wendell
Bothfeld, Richard Wendell is an individual health care provider with primary practice located at 30 Chase Ave F.T. Hill Center, Waterville ME 04901-4624. He recently has 3 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Assistive Technology Supplier, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is his primary health care specialty. Bothfeld, Richard Wendell can be contacted via phone (207) 872-4383.Contact Information
Primary practice address
30 Chase Ave F.T. Hill Center
Waterville ME 04901-4624
Phone: (207) 872-4383
Fax: (207) 872-4222
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | A441 | New Hampshire |
Speech, Language and Hearing Service Providers / Assistive Technology Supplier | 231HA2500X | A441 | New Hampshire |
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X | A441 | New Hampshire |
Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | AP1990 | Maine |
Speech, Language and Hearing Service Providers / Assistive Technology Supplier | 231HA2500X | AP1990 | Maine |
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X | AP1990 | Maine |
Profile Details
NPI number | 1316034887 |
---|---|
LBN Legal business name | Bothfeld, Richard Wendell |
Credentials | AU.D., F-AAA, C-AAA |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 6th, 2006 |
Last updated | Aug 5th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1316034887 | NPPES |
Vermont | MEDICAID | 1009099 | |
Vermont | MEDICAID | 30210958 |
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