Provider Demographics
NPI:1235728007
Name:RYAN D BARKER DC PC
Entity Type:Organization
Organization Name:RYAN D BARKER DC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:BARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-291-8062
Mailing Address - Street 1:113 W ALBANY ST
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:NY
Mailing Address - Zip Code:13126-2410
Mailing Address - Country:US
Mailing Address - Phone:315-326-0440
Mailing Address - Fax:315-291-8062
Practice Address - Street 1:113 W ALBANY ST
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:NY
Practice Address - Zip Code:13126-2410
Practice Address - Country:US
Practice Address - Phone:315-326-0440
Practice Address - Fax:315-291-8062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-15
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty