Provider Demographics
NPI:1194464610
Name:BARNEVELD FAMILY CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:BARNEVELD FAMILY CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:W
Authorized Official - Last Name:HELMER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:315-896-4338
Mailing Address - Street 1:PO BOX 501
Mailing Address - Street 2:
Mailing Address - City:BARNEVELD
Mailing Address - State:NY
Mailing Address - Zip Code:13304-0501
Mailing Address - Country:US
Mailing Address - Phone:131-589-6433
Mailing Address - Fax:
Practice Address - Street 1:105 VANDERKEMP AVE
Practice Address - Street 2:
Practice Address - City:BARNEVELD
Practice Address - State:NY
Practice Address - Zip Code:13304
Practice Address - Country:US
Practice Address - Phone:315-896-4338
Practice Address - Fax:315-896-4342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-02
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty