Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 860 | NE |
NPI | 1013014844 |
---|---|
Provider Name | Thomas A Bartek |
First Address | Falls City, NE 68355-2026 |
Second Address | Falls City, NE 68355-2026 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
47068839600 | (05) | NE |