Provider Demographics
NPI:1003803982
Name:MACEWEN, BARRY J (DC)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:J
Last Name:MACEWEN
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 1:3 WILKENS DR
Mailing Address - Street 2:
Mailing Address - City:PLAINVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02762-2257
Mailing Address - Country:US
Mailing Address - Phone:508-699-4482
Mailing Address - Fax:508-643-0713
Practice Address - Street 1:3 WILKENS DR
Practice Address - Street 2:
Practice Address - City:PLAINVILLE
Practice Address - State:MA
Practice Address - Zip Code:02762-2257
Practice Address - Country:US
Practice Address - Phone:508-699-4482
Practice Address - Fax:508-643-0713
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-05
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MACH508111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY35350Medicare PIN
MA58123Medicare UPIN