Provider Demographics
NPI:1629299391
Name:BARTLETT, ADAM ELON (DC)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:ELON
Last Name:BARTLETT
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 1:2929 SUMMIT ST STE 103
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-3423
Mailing Address - Country:US
Mailing Address - Phone:510-452-2929
Mailing Address - Fax:510-452-2939
Practice Address - Street 1:2929 SUMMIT ST STE 103
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-3423
Practice Address - Country:US
Practice Address - Phone:510-452-2929
Practice Address - Fax:510-452-2939
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2021-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 27387111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor