Lynda Bartosh, RTRM, RPA

Individual provider Active NPI Radiology Practitioner Assistant · Petoskey, MI

NPI 1033434261 · NPPES record last updated Mar 31, 2010

Key facts

NPI
1033434261
Entity type
Individual (NPI type 1)
Primary specialty
Radiology Practitioner Assistant 243U00000X
License
07MI1307 (MI)
Practice address
416 Connable Ave
Petoskey, MI 49770-2212
Phone
(231) 487-4000
NPI assigned
Mar 31, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
07MI1307MIMDRadiology Practitioner Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Practitioner Assistant 243U00000X 07MI1307 MI Yes

Addresses

Primary practice location

416 Connable Ave
Petoskey, MI 49770-2212

Mailing address

6102 Forest Ridge LN
Harbor Springs, MI 49740-9202
Phone (231) 526-1183

Other providers in Petoskey, MI

All providers in Petoskey, MI · Radiology Practitioner Assistant in Michigan

Sources for this page

Verify at the official NPI Registry.