Healthcare Provider Details

I. General information

NPI: 1568568921
Provider Name (Legal Business Name): BART B BISHOP DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 01/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1421 11TH ST
REEDLEY CA
93654-2928
US

IV. Provider business mailing address

1421 11TH ST
REEDLEY CA
93654-2928
US

V. Phone/Fax

Practice location:
  • Phone: 559-633-9963
  • Fax: 562-646-5605
Mailing address:
  • Phone: 559-633-9963
  • Fax: 562-646-5605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC16267
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: