Provider Demographics
NPI:1144210550
Name:KLINGER, BARRY MARTIN (DC)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:MARTIN
Last Name:KLINGER
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 1:3105 LONE TREE WAY
Mailing Address - Street 2:SUITE C
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94509-4979
Mailing Address - Country:US
Mailing Address - Phone:925-778-6655
Mailing Address - Fax:925-778-6656
Practice Address - Street 1:3105 LONE TREE WAY
Practice Address - Street 2:SUITE C
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94509-4979
Practice Address - Country:US
Practice Address - Phone:925-778-6655
Practice Address - Fax:925-778-6656
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-26
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20256111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0202560Medicaid
CADC0202560Medicaid
CAZZZ22714ZMedicare UPIN