Bartlett Family Chiropractic LLC
Organization Active NPI Chiropractor · Maplewood, MN
NPI 1487337044 · NPPES record last updated Mar 28, 2024
Key facts
- NPI
- 1487337044
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- BARTLETT FAMILY CHIROPRACTIC LLC
- Practice address
- 3035 White Bear Ave N Ste 10
Maplewood, MN 55109-1321 - Phone
- (651) 386-1702
- Fax
- (651) 384-1306
- NPI assigned
- Aug 10, 2023
- Organization subpart
- No
Authorized official
- Name
- Aaron Bartlett, DC
- Title
- Doctor of Chiropractic
- Phone
- (651) 328-1825
Practitioners 2
-
Gregory Eugene Eastlund, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231019001478 | MN | Part B Supplier - Clinic/Group Practice | 9830545342 |
Receives reassigned benefits from 1 practitioner Practice locations: Maplewood, MN |
National Provider Directory
Locations
3035 White Bear Ave N
Ste 10
Saint Paul, MN 55109
Phone (651) 328-1825
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
3035 White Bear Ave N Ste 10
Maplewood, MN 55109-1321
Mailing address
3035 White Bear Ave N Ste 10
Maplewood, MN 55109-1321
Other providers in Maplewood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.