1649344128 NPI number — DR. EDWARD BARTLINSKI DC

Table of content: DR. EDWARD BARTLINSKI DC (NPI 1649344128)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649344128 NPI number — DR. EDWARD BARTLINSKI DC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BARTLINSKI
Provider First Name:
EDWARD
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DC
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649344128
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8131 RITCHIE HWY
Provider Second Line Business Mailing Address:
STE 1
Provider Business Mailing Address City Name:
PASADENA
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21122-6940
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-647-2225
Provider Business Mailing Address Fax Number:
410-647-8108

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8131 RITCHIE HWY
Provider Second Line Business Practice Location Address:
STE 1
Provider Business Practice Location Address City Name:
PASADENA
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21122-6940
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-647-2225
Provider Business Practice Location Address Fax Number:
410-647-8108
Provider Enumeration Date:
11/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  501336 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2293774 . This is a "AETNA (HMO)" identifier . This identifiers is of the category "OTHER".
  • Identifier: 35451303 . This is a "BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2109853 . This is a "MAMSI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2109853 . This is a "MDIPA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2109853 . This is a "ALLIANCE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5883129 . This is a "AETNA (REG)" identifier . This identifiers is of the category "OTHER".
  • Identifier: M619 . This is a "BCBS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: R150001 . This is a "BCBS FED & DC" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 1246654 . This is a "UNITED HEALTH CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2109853 . This is a "OPT CHOICE" identifier . This identifiers is of the category "OTHER".




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