Provider Demographics
NPI:1437151594
Name:THE BARCZYK CLINIC
Entity Type:Organization
Organization Name:THE BARCZYK CLINIC
Other - Org Name:BARCZYK CHIROPRACTIC GROUP
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:BARCZYK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:337-266-9949
Mailing Address - Street 1:1721 W PINHOOK RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-3723
Mailing Address - Country:US
Mailing Address - Phone:337-266-9949
Mailing Address - Fax:337-266-9951
Practice Address - Street 1:1721 W PINHOOK RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-3723
Practice Address - Country:US
Practice Address - Phone:337-266-9949
Practice Address - Fax:337-266-9951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1004111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1506210950OtherBCBS PROVIDER #
LA1694231Medicaid
LA1947512Medicaid
LA1694223Medicaid
LA1506210950OtherBCBS PROVIDER #
LAT19886Medicare UPIN
LA1694223Medicaid