Individual
JEREMY L BARTHOLOMEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
124 E MAIN ST, WATERVILLE, NY 13480-1108
(315) 841-3010
(315) 841-3020
Mailing address
PO BOX 315, WATERVILLE, NY 13480-0315
(315) 841-3010
(315) 841-3020
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X010937
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02644071
—
NY
Enumeration date
03/15/2006
Last updated
07/09/2007
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