Bartholomew, Alan
Bartholomew, Alan is an individual health care provider with primary practice located at 301 Fisher St Rm 1F325 , Keesler Afb MS 39534-2508. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Bartholomew, Alan can be contacted via phone (801) 706-4520.Contact Information
Primary practice address
301 Fisher St Rm 1F325
Keesler Afb MS 39534-2508
Phone: (801) 706-4520
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 1747 | Nebraska |
Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 1747 | Nebraska |
Profile Details
NPI number | 1003296153 |
---|---|
LBN Legal business name | Bartholomew, Alan |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 4th, 2015 |
Last updated | Aug 13th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1003296153 | NPPES |
Nebraska | MEDICAID | 1747 |
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