Provider Demographics
NPI:1326141300
Name:IRWIN-BARBER CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:IRWIN-BARBER CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:A
Authorized Official - Last Name:BARBER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-527-2686
Mailing Address - Street 1:2067 ROUTE 130
Mailing Address - Street 2:
Mailing Address - City:JEANNETTE
Mailing Address - State:PA
Mailing Address - Zip Code:15644
Mailing Address - Country:US
Mailing Address - Phone:724-527-2686
Mailing Address - Fax:724-527-6736
Practice Address - Street 1:2067 ROUTE 130
Practice Address - Street 2:
Practice Address - City:JEANNETTE
Practice Address - State:PA
Practice Address - Zip Code:15644
Practice Address - Country:US
Practice Address - Phone:724-527-2686
Practice Address - Fax:724-527-6736
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC001183L111N00000X
PADC007040L111N00000X
PADC007431L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA115804RVXMedicare ID - Type Unspecified
PA071049Medicare ID - Type Unspecified
PA023530RVXMedicare ID - Type Unspecified
PA022955Medicare ID - Type Unspecified