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Individual

DR. ELIZABETH ANNE BARTLETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
953 MONUMENT DR, LEBANON, IN 46052-2968
(630) 699-5714
(630) 473-2477
Mailing address
199 DIAMOND LN, CRAWFORDSVILLE, IN 47933-8320
(630) 699-5714
(630) 473-2477

Taxonomy

Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
038-009605
IL
111NI0900X
Internist Chiropractor
Primary
08003268A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02232594
BCBS OF ILLINOIS
IL
01
11562742
CAQH
IL
01
3610727
CIGNA
IL
01
697284
ACN
IL
01
7957448
AETNA
IL
Enumeration date
11/03/2006
Last updated
07/29/2022
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