Bartlett, Samuel Ivan

Bartlett, Samuel Ivan is an individual health care provider with primary practice located at 6600 Van Aalst Blvd , Fort Moore GA 31905-2102. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Bartlett, Samuel Ivan can be contacted via phone (762) 408-2649.

Contact Information

Primary practice address
6600 Van Aalst Blvd Fort Moore GA 31905-2102
Phone: (762) 408-2649
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02005810A Indiana
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 02005810A Indiana

Profile Details

NPI number 1467944462
LBN Legal business name Bartlett, Samuel Ivan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2018
Last updated Dec 18th, 2023 - about 2 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.

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