Provider Demographics
NPI:1104046028
Name:BARNES FAMILY CHIROPRACTIC INC
Entity Type:Organization
Organization Name:BARNES FAMILY CHIROPRACTIC INC
Other - Org Name:CORE HEALTH CENTERS OF WINCHESTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEREMIAH
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:606-831-4432
Mailing Address - Street 1:29 CANARY LN
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:KY
Mailing Address - Zip Code:40391-1645
Mailing Address - Country:US
Mailing Address - Phone:606-831-4432
Mailing Address - Fax:859-744-7319
Practice Address - Street 1:29 CANARY LN
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:KY
Practice Address - Zip Code:40391-1645
Practice Address - Country:US
Practice Address - Phone:606-831-4432
Practice Address - Fax:859-744-7319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3632-R111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY85900280Medicaid
KY0724801Medicare ID - Type Unspecified
KY85036325Medicaid