Provider Demographics
NPI:1235273335
Name:BARBER, ANTHONY ALLAN (DC)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:ALLAN
Last Name:BARBER
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 1:2067 ROUTE 130
Mailing Address - Street 2:
Mailing Address - City:JEANNETTE
Mailing Address - State:PA
Mailing Address - Zip Code:15644-0000
Mailing Address - Country:US
Mailing Address - Phone:724-527-2686
Mailing Address - Fax:724-527-6736
Practice Address - Street 1:2067 STATE ROUTE 130
Practice Address - Street 2:
Practice Address - City:JEANNETTE
Practice Address - State:PA
Practice Address - Zip Code:15644-3801
Practice Address - Country:US
Practice Address - Phone:724-527-2686
Practice Address - Fax:724-527-6736
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007040L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA023530RVXMedicare ID - Type Unspecified
PA071049Medicare ID - Type Unspecified