Provider Demographics
NPI:1225186653
Name:PARTMANN, JOHN ANTON (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ANTON
Last Name:PARTMANN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67714 NO. BAY RD.
Mailing Address - Street 2:
Mailing Address - City:NO. BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97459
Mailing Address - Country:US
Mailing Address - Phone:541-751-1599
Mailing Address - Fax:541-269-9408
Practice Address - Street 1:67714 NO. BAY RD.
Practice Address - Street 2:
Practice Address - City:NO. BEND
Practice Address - State:OR
Practice Address - Zip Code:97459
Practice Address - Country:US
Practice Address - Phone:541-751-1599
Practice Address - Fax:541-269-9408
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2014-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR653286111N00000X
OR3286111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0188700OtherWASHING STATE LABOR PIN
OR182520Medicaid
OR113785Medicare ID - Type Unspecified
OR182520Medicaid