Provider Demographics
NPI:1093862211
Name:BARBER, ERIK DURANT (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIK
Middle Name:DURANT
Last Name:BARBER
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 1:510 N COAST HWY STE B
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054-0605
Mailing Address - Country:US
Mailing Address - Phone:760-754-1188
Mailing Address - Fax:760-754-1228
Practice Address - Street 1:510 N COAST HWY STE B
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-0605
Practice Address - Country:US
Practice Address - Phone:760-754-1188
Practice Address - Fax:760-754-1228
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27719111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC27719Medicare ID - Type Unspecified