Provider Demographics
NPI:1093894313
Name:RZEPA, BARTLOMIEJ M (DC)
Entity Type:Individual
Prefix:DR
First Name:BARTLOMIEJ
Middle Name:M
Last Name:RZEPA
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 1:216 LAFAYETTE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH HAMPTON
Mailing Address - State:NH
Mailing Address - Zip Code:03862-2445
Mailing Address - Country:US
Mailing Address - Phone:603-964-1103
Mailing Address - Fax:603-964-8074
Practice Address - Street 1:216 LAFAYETTE RD
Practice Address - Street 2:
Practice Address - City:NORTH HAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03862-2445
Practice Address - Country:US
Practice Address - Phone:603-964-1103
Practice Address - Fax:603-964-8074
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH489-0597111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHRE4577Medicare UPIN
NHRE4577Medicare PIN