Provider Demographics
NPI:1437530151
Name:BARC, TIMMIE M (DC)
Entity Type:Individual
Prefix:
First Name:TIMMIE
Middle Name:M
Last Name:BARC
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 1:1627 E DONNER DR
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-7220
Mailing Address - Country:US
Mailing Address - Phone:720-448-3955
Mailing Address - Fax:
Practice Address - Street 1:1627 E DONNER DR
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-7220
Practice Address - Country:US
Practice Address - Phone:480-567-9773
Practice Address - Fax:480-383-6707
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-18
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8557111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor