Provider Demographics
NPI:1003159039
Name:BHATHAL, AMANPREET SINGH (DC)
Entity Type:Individual
Prefix:DR
First Name:AMANPREET
Middle Name:SINGH
Last Name:BHATHAL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1528 LAKEVIEW RD STE 150
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756-3694
Mailing Address - Country:US
Mailing Address - Phone:727-408-5222
Mailing Address - Fax:727-408-5252
Practice Address - Street 1:1528 LAKEVIEW RD STE 150
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-3694
Practice Address - Country:US
Practice Address - Phone:727-408-5222
Practice Address - Fax:727-408-5252
Is Sole Proprietor?:No
Enumeration Date:2013-03-27
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 10839111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor