Provider Demographics
NPI:1811022577
Name:THOMAS W. BARTLETT D.C. PROF.CORP. A CHIROPRACTIC CORPORATION
Entity Type:Organization
Organization Name:THOMAS W. BARTLETT D.C. PROF.CORP. A CHIROPRACTIC CORPORATION
Other - Org Name:SPINAL SOLUTIONS (CURRENT) & JOINT MOTION IMAGING(FORMERLY)
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:BARTLETT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:805-434-5080
Mailing Address - Street 1:935 SALIDA DEL SOL
Mailing Address - Street 2:
Mailing Address - City:PASO ROBLES
Mailing Address - State:CA
Mailing Address - Zip Code:93446
Mailing Address - Country:US
Mailing Address - Phone:805-238-1013
Mailing Address - Fax:805-238-6999
Practice Address - Street 1:225 POSADA LN
Practice Address - Street 2:SUITE A
Practice Address - City:TEMPLETON
Practice Address - State:CA
Practice Address - Zip Code:93465-4058
Practice Address - Country:US
Practice Address - Phone:805-434-5080
Practice Address - Fax:805-434-5081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17385111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty