Provider Demographics
NPI:1205823481
Name:BARRON, SETH A (DC)
Entity Type:Individual
Prefix:DR
First Name:SETH
Middle Name:A
Last Name:BARRON
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 1:83 GREAT RD
Mailing Address - Street 2:STE 1A
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720-5682
Mailing Address - Country:US
Mailing Address - Phone:978-266-9286
Mailing Address - Fax:978-266-9296
Practice Address - Street 1:83 GREAT RD
Practice Address - Street 2:STE 1A
Practice Address - City:ACTON
Practice Address - State:MA
Practice Address - Zip Code:01720-5682
Practice Address - Country:US
Practice Address - Phone:978-266-9286
Practice Address - Fax:978-266-9296
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-03
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2781111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA6691220001Medicare NSC
MAY45635Medicare ID - Type Unspecified