Provider Demographics
NPI:1053462929
Name:BARTASIUS, STEVEN M (DC,DACACD)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:M
Last Name:BARTASIUS
Suffix:
Gender:M
Credentials:DC,DACACD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 HADDON AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:COLLINGSWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08108-1121
Mailing Address - Country:US
Mailing Address - Phone:856-240-7361
Mailing Address - Fax:856-240-7374
Practice Address - Street 1:275 HADDON AVE
Practice Address - Street 2:SUITE C
Practice Address - City:COLLINGSWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08108-1121
Practice Address - Country:US
Practice Address - Phone:856-240-7361
Practice Address - Fax:856-240-7374
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00539200111N00000X
PADC007418L111N00000X
DEF1 0000467111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7562752OtherAETNA PPO
NJ1224643OtherAETNA HMO
NJ611534200OtherACS
NJ2729626000OtherAMERIHEALTH
NJ1161217OtherCIGNA
NJ611534200OtherACS
NJ1161217OtherCIGNA