Provider Demographics
NPI:1225178767
Name:BARNOT, RYAN ANTHONY (DC)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:ANTHONY
Last Name:BARNOT
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 1:3637 STATE RT 5
Mailing Address - Street 2:SUITE 5
Mailing Address - City:CORTLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44410
Mailing Address - Country:US
Mailing Address - Phone:330-637-0037
Mailing Address - Fax:330-637-0050
Practice Address - Street 1:3637 STATE RT 5
Practice Address - Street 2:SUITE 5
Practice Address - City:CORTLAND
Practice Address - State:OH
Practice Address - Zip Code:44410
Practice Address - Country:US
Practice Address - Phone:330-637-0037
Practice Address - Fax:330-637-0050
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3480111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH020735965027OtherCARESOURCE
OH2549424Medicaid
OHQ041590OtherHEALTH PLAN OF UPPER OH V
OH354590OtherANTHEM
OH0636259OtherCIGNA
OH7253692OtherAETNA
OH2549424Medicaid