Provider Demographics
NPI:1700019452
Name:BARTHOLOMEW FAMILY CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:BARTHOLOMEW FAMILY CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:BARTHOLOMEW
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:607-533-0128
Mailing Address - Street 1:3100 N TRIPHAMMER RD
Mailing Address - Street 2:P.O. BOX 11
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-28
Last Update Date:2009-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX011469111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty