Healthcare Provider Details

I. General information

NPI: 1194766642
Provider Name (Legal Business Name): CAROLINE L BARTLEY D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 06/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2364 S COLORADO BLVD
DENVER CO
80222-5905
US

IV. Provider business mailing address

10801 E ILIFF PL
AURORA CO
80014-1713
US

V. Phone/Fax

Practice location:
  • Phone: 303-388-6886
  • Fax: 720-328-0089
Mailing address:
  • Phone: 303-388-6886
  • Fax: 720-328-0089

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NI0900X
TaxonomyInternist Chiropractor
License Number4516
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number4516
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: