Provider Demographics
NPI:1396851036
Name:BARRY, JANET M (DC)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:M
Last Name:BARRY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5395 ABBE ROAD
Mailing Address - Street 2:
Mailing Address - City:ELYRIA
Mailing Address - State:OH
Mailing Address - Zip Code:44035
Mailing Address - Country:US
Mailing Address - Phone:440-934-2273
Mailing Address - Fax:440-934-2274
Practice Address - Street 1:5395 ABBE ROAD
Practice Address - Street 2:
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035
Practice Address - Country:US
Practice Address - Phone:440-934-2273
Practice Address - Fax:440-934-2274
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1621111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2008160Medicaid
OH341772181005OtherMEDICAL MUTUAL
OH000000138275OtherANTHEM BCBS
OH341772181005OtherMEDICAL MUTUAL
OH2008160Medicaid