Provider Demographics
NPI:1437423555
Name:BARNES, NICKLAUS MICAH (DC)
Entity Type:Individual
Prefix:DR
First Name:NICKLAUS
Middle Name:MICAH
Last Name:BARNES
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 1:460 E CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:ELMIRA
Mailing Address - State:NY
Mailing Address - Zip Code:14901-2832
Mailing Address - Country:US
Mailing Address - Phone:607-733-3235
Mailing Address - Fax:607-733-4036
Practice Address - Street 1:460 E CHURCH ST
Practice Address - Street 2:
Practice Address - City:ELMIRA
Practice Address - State:NY
Practice Address - Zip Code:14901-2832
Practice Address - Country:US
Practice Address - Phone:607-733-3235
Practice Address - Fax:607-733-4036
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-07
Last Update Date:2016-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX012338-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor