Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ERIC BALDRIC BETTAG, DPM
Active Sole ProprietorERIC BALDRIC BETTAG, DPM is a Podiatrist healthcare provider located in ST CHARLES, Illinois. NPI 1639192982 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · ST CHARLES, IL
Registration Details
- NPI Number
- 1639192982
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 26, 2006 (20.024666911306 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
2320 DEAN ST STE 104ST CHARLES, IL, 601751068Browse IL providers · Browse ZIP 60175
- Phone
- 6305844200
- Fax
- 6305844257
- Primary Specialty
-
Podiatrist
213E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.