National Provider Identifier Database

BRENT BULTEMEIER PA
Chiropractor

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.


Contact Information

BRENT BULTEMEIER PA
3207 NEW BOSTON ROAD
TEXARKANA, TX75501
Phone: 903-832-8765
Fax: 903-832-6060
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for BRENT BULTEMEIER PA

NPI Number 1134248271
Legal business name
LBN
BRENT BULTEMEIER PA
Authorized official BRENT BULTEMEIER - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 03/28/2007
Last updated 08/20/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: 5532
  • TX Other: 0072QD BLUE CROSS BLUE SHIELD OF TX
  • TX Other: DE5478 RAILROAD MEDICARE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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