Provider Demographics
NPI:1013014844
Name:BARTEK, THOMAS A (DC)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:A
Last Name:BARTEK
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 1:1717 STONE STREET
Mailing Address - Street 2:
Mailing Address - City:FALLS CITY
Mailing Address - State:NE
Mailing Address - Zip Code:68355-2026
Mailing Address - Country:US
Mailing Address - Phone:402-245-3959
Mailing Address - Fax:402-245-5245
Practice Address - Street 1:1717 STONE STREET
Practice Address - Street 2:
Practice Address - City:FALLS CITY
Practice Address - State:NE
Practice Address - Zip Code:68355-2026
Practice Address - Country:US
Practice Address - Phone:402-245-3959
Practice Address - Fax:402-245-5245
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE860111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47068839600Medicaid
NE47068839600Medicaid