Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | CH 10839 | FL |
NPI | 1003159039 |
---|---|
Provider Name | Dr. Amanpreet Singh Bhathal |
First Address | Clearwater, FL 33765-3415 |
Second Address | Clearwater, FL 33765-3415 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2013 |
Last Update Date | 18/07/2014 |