Provider Demographics
NPI:1912992314
Name:BARTOSEK, HELEN M (DC)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:M
Last Name:BARTOSEK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5601 N FEDERAL HWY
Mailing Address - Street 2:SUITE 2
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-4012
Mailing Address - Country:US
Mailing Address - Phone:561-997-7660
Mailing Address - Fax:561-997-7661
Practice Address - Street 1:5601 N FEDERAL HWY
Practice Address - Street 2:SUITE 2
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-4012
Practice Address - Country:US
Practice Address - Phone:561-997-7660
Practice Address - Fax:561-997-7661
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-13
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH3850111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T55034Medicare UPIN
FL88762Medicare ID - Type Unspecified