Provider Demographics
NPI:1205029568
Name:BAROWSKY, EDWARD J (DC)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:J
Last Name:BAROWSKY
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:PO BOX 10308
Mailing Address - Street 2:
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01041-1908
Mailing Address - Country:US
Mailing Address - Phone:413-536-0220
Mailing Address - Fax:413-535-0226
Practice Address - Street 1:98 LOWER WESTFIELD RD
Practice Address - Street 2:
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-9403
Practice Address - Country:US
Practice Address - Phone:413-536-0220
Practice Address - Fax:413-535-0226
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-21
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA449111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MABA Y35283Medicare UPIN