Provider Demographics
NPI:1649344128
Name:BARTLINSKI, EDWARD (DC)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:
Last Name:BARTLINSKI
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 1:8131 RITCHIE HWY
Mailing Address - Street 2:STE 1
Mailing Address - City:PASADENA
Mailing Address - State:MD
Mailing Address - Zip Code:21122-6940
Mailing Address - Country:US
Mailing Address - Phone:410-647-2225
Mailing Address - Fax:410-647-8108
Practice Address - Street 1:8131 RITCHIE HWY
Practice Address - Street 2:STE 1
Practice Address - City:PASADENA
Practice Address - State:MD
Practice Address - Zip Code:21122-6940
Practice Address - Country:US
Practice Address - Phone:410-647-2225
Practice Address - Fax:410-647-8108
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD501336111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
2293774OtherAETNA (HMO)
35451303OtherBCBS
2109853OtherMAMSI
2109853OtherMDIPA
2109853OtherALLIANCE
5883129OtherAETNA (REG)
MDM619OtherBCBS
MDR150001OtherBCBS FED & DC
1246654OtherUNITED HEALTH CARE
2109853OtherOPT CHOICE
130RMedicare ID - Type Unspecified
T77336Medicare UPIN