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NPI Code Detail

MEDICARE: DR. DANIEL JOHN BARTLEY D.C.

MEDICARE: DR. DANIEL JOHN BARTLEY 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
1111N00000XChiropractor08003008AIN

General Provider Information

NPI Number : 1265575021
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL JOHN BARTLEY D.C.
Provider Business Mailing Address
First Line : 1148 MONUMENT ST
Second Line :
City : NOBLESVILLE
State : IN
Zip : 46060-2029
Country : US
Telephone Number : 317-719-9127
Fax Number :
Provider Business Practice Location Address
First Line : 2855 N KEYSTONE AVE STE 100
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46218-2790
Country : US
Telephone Number : 317-957-2300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2007
Last Update Date : 02/28/2024

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