MEDICARE: DR. BARTLOMIEJ M RZEPA 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	489-0597	NH

General Provider Information

NPI Number	:	1093894313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARTLOMIEJ M RZEPA D.C.

Provider Business Mailing Address
First Line	:	216 LAFAYETTE RD
Second Line	:
City	:	NORTH HAMPTON
State	:	NH
Zip	:	03862-2445
Country	:	US
Telephone Number	:	603-964-1103
Fax Number	:	603-964-8074

Provider Business Practice Location Address
First Line	:	216 LAFAYETTE RD
Second Line	:
City	:	NORTH HAMPTON
State	:	NH
Zip	:	03862-2445
Country	:	US
Telephone Number	:	603-964-1103
Fax Number	:	603-964-8074

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

Provider Enumeration Date	:	11/06/2006
Last Update Date	:	08/14/2008

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