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Individual

DR. BRIAN BARTLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CH

Contact information

Practice address
12425 OLD MERIDIAN ST, CARMEL, IN 46032-8724
(317) 566-3422
Mailing address
4639 AERIE LN, INDIANAPOLIS, IN 46254-9509

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001261A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000003787753
ANTHEM BCBS
IN
05
100175980
IN
Enumeration date
04/03/2007
Last updated
04/28/2008
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