Provider Demographics
NPI:1235319328
Name:BARTHOLOMEW, BRIAN MARTIN (DC)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:MARTIN
Last Name:BARTHOLOMEW
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 1:3100 N TRIPHAMMER RD
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:NY
Mailing Address - Zip Code:14882-8906
Mailing Address - Country:US
Mailing Address - Phone:607-533-0128
Mailing Address - Fax:607-533-0129
Practice Address - Street 1:3100 N TRIPHAMMER RD
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:NY
Practice Address - Zip Code:14882-8906
Practice Address - Country:US
Practice Address - Phone:607-533-0128
Practice Address - Fax:607-533-0129
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-06
Last Update Date:2008-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX011469111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor