Provider Demographics
NPI:1154480424
Name:LEIBFORTH DOWNES, BARBARA (DC)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:LEIBFORTH DOWNES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:L
Other - Last Name:DOWNES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:10 WARREN RD
Mailing Address - Street 2:S-200
Mailing Address - City:COCKEYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21030-2506
Mailing Address - Country:US
Mailing Address - Phone:410-628-2600
Mailing Address - Fax:410-628-2878
Practice Address - Street 1:10 WARREN RD
Practice Address - Street 2:S-200
Practice Address - City:COCKEYSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21030-2506
Practice Address - Country:US
Practice Address - Phone:410-628-2600
Practice Address - Fax:410-628-2878
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDSO1243PT111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDM205Medicare PIN
MDT91212Medicare UPIN