# BARTHOLOMEW CHIROPRACTIC PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Waterville Chiropractic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902924046
- **Authorized official:** DR. JEREMY L BARTHOLOMEW D.C. (OWNER)
- **Authorized official phone:** (315) 841-3010

## Contact information

- **Practice address:** 124 E MAIN ST, 1ST FLOOR, WATERVILLE, NY 13480-1108
- **Practice address phone:** (315) 841-3010
- **Practice address fax:** (315) 841-3020
- **Mailing address:** PO BOX 315, WATERVILLE, NY 13480-0315
- **Mailing address phone:** (315) 841-3010
- **Mailing address fax:** (315) 841-3020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X010937 | NY | Yes |

## Other

- **Enumeration date:** 03/27/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02644071 | — | NY |
| 01 | — | C10937-3W | WORK COMP | NY |