Provider Demographics
NPI:1063636520
Name:BARNARD, JAIME RENEE (DC)
Entity Type:Individual
Prefix:DR
First Name:JAIME
Middle Name:RENEE
Last Name:BARNARD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1415 E POLAND AVE
Mailing Address - Street 2:
Mailing Address - City:BESSEMER
Mailing Address - State:PA
Mailing Address - Zip Code:16112-9209
Mailing Address - Country:US
Mailing Address - Phone:724-498-1567
Mailing Address - Fax:724-856-8157
Practice Address - Street 1:1415 E POLAND AVE
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:PA
Practice Address - Zip Code:16112-9209
Practice Address - Country:US
Practice Address - Phone:724-498-1567
Practice Address - Fax:724-856-8157
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009757111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA220921YEZMMedicare PIN