| Bartlett Chiropractic, Inc | |
|
2718 Tachevah Dr Santa Rosa CA 95405-8420 | |
| (707) 579-8150 | |
| (707) 579-8161 |
| Full Name | Bartlett Chiropractic, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2718 Tachevah Dr, Santa Rosa, California |
| Authorized Official Name and Position | Brian A Bartlett (CHIROPACTOR/OWNER) |
| Authorized Official Contact | 7075798150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bartlett Chiropractic, Inc 2718 Tachevah Dr Santa Rosa CA 95405-8420 Ph: (707) 579-8150 | Bartlett Chiropractic, Inc 2718 Tachevah Dr Santa Rosa CA 95405-8420 Ph: (707) 579-8150 |
| NPI Number | 1770924326 |
|---|---|
| Provider Enumeration Date | 07/11/2013 |
| Last Update Date | 07/11/2013 |
| Medicare PECOS PAC ID | 6103052550 |
|---|---|
| Medicare Enrollment ID | O20131113002001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770924326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | DC23426 (California) | Primary |
| Provider Name | Brian A Bartlett |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1154426930 PECOS PAC ID: 9234167800 Enrollment ID: I20050803001120 |
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