Provider Demographics
NPI:1255332300
Name:BARCLAY, WARREN R (DC)
Entity Type:Individual
Prefix:DR
First Name:WARREN
Middle Name:R
Last Name:BARCLAY
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 1:5 DRACUT RD
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NH
Mailing Address - Zip Code:03051-5007
Mailing Address - Country:US
Mailing Address - Phone:603-886-1133
Mailing Address - Fax:603-886-2829
Practice Address - Street 1:5 DRACUT RD
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NH
Practice Address - Zip Code:03051-5007
Practice Address - Country:US
Practice Address - Phone:603-886-1133
Practice Address - Fax:603-886-2829
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2012-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH222-0686B111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH715250Medicare UPIN
NHAA9379Medicare UPIN
NHNH9223Medicare ID - Type UnspecifiedMEDICARE
NH50Y444300NH01Medicare UPIN