MEDICARE: DR. THOMAS WILLIAM BARTLETT D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	17385	CA

General Provider Information

NPI Number	:	1063692416
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS WILLIAM BARTLETT D.C.

Provider Business Mailing Address
First Line	:	1300 E CYPRESS ST
Second Line	:	BLDG. C-2
City	:	SANTA MARIA
State	:	CA
Zip	:	93454-4728
Country	:	US
Telephone Number	:	805-347-0002
Fax Number	:	805-347-0022

Provider Business Practice Location Address
First Line	:	1300 E CYPRESS ST
Second Line	:	BLDG. C-2
City	:	SANTA MARIA
State	:	CA
Zip	:	93454-4728
Country	:	US
Telephone Number	:	805-347-0002
Fax Number	:	805-347-0022

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2007
Last Update Date	:	11/13/2007

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