Provider Demographics
NPI:1659782555
Name:BARTLETT CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:BARTLETT CHIROPRACTIC PLLC
Other - Org Name:BARRINGTON CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR OF CLINIC
Authorized Official - Prefix:DR
Authorized Official - First Name:TYLER
Authorized Official - Middle Name:GORDON
Authorized Official - Last Name:BARTLETT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:603-343-8565
Mailing Address - Street 1:644 FRANKLIN PIERCE HWY
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:NH
Mailing Address - Zip Code:03825-7397
Mailing Address - Country:US
Mailing Address - Phone:603-664-6724
Mailing Address - Fax:603-664-6726
Practice Address - Street 1:644 FRANKLIN PIERCE HWY
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:NH
Practice Address - Zip Code:03825-7397
Practice Address - Country:US
Practice Address - Phone:603-664-6724
Practice Address - Fax:603-664-6726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-13
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH868-0510111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH868-0510OtherSTATE OF NH LICENSE