Individual
DR. CRAIG ALAN BARTELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2902 DOLPHIN DR, ELIZABETHTOWN, KY 42701-7102
(270) 769-2255
(270) 763-9773
Mailing address
2902 DOLPHIN DR, ELIZABETHTOWN, KY 42701-7102
(270) 769-2255
(270) 763-9773
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4628
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000295204
ANTHEM BCBS PROVIDER #
KY
01
—
20-0070241
FEDERAL TAX I.D.#
—
01
—
50001789
PASSPORT PROVIDER I.D.#
KY
05
—
85002889
—
KY
Enumeration date
05/25/2006
Last updated
03/22/2019
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