Provider Demographics
NPI:1821704156
Name:BARTLING, JACOB BENJAMIN (DC)
Entity Type:Individual
Prefix:DR
First Name:JACOB
Middle Name:BENJAMIN
Last Name:BARTLING
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 1:2214 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68847-5315
Mailing Address - Country:US
Mailing Address - Phone:308-455-3300
Mailing Address - Fax:
Practice Address - Street 1:2214 2ND AVE
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68847-5315
Practice Address - Country:US
Practice Address - Phone:308-455-3300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2153111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor