Provider Demographics
NPI:1043510993
Name:C
Entity Type:Organization
Organization Name:C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:BURTON
Authorized Official - Last Name:BARRINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:239-433-2003
Mailing Address - Street 1:13611 MCGREGOR BLVD
Mailing Address - Street 2:1
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33919-6042
Mailing Address - Country:US
Mailing Address - Phone:239-433-2003
Mailing Address - Fax:
Practice Address - Street 1:13611 MCGREGOR BLVD
Practice Address - Street 2:1
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33919-6042
Practice Address - Country:US
Practice Address - Phone:239-433-2003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-26
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0003971111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLT8591Medicare UPIN