Provider Demographics
NPI:1447239603
Name:BARNER, DALE W (DC)
Entity Type:Individual
Prefix:DR
First Name:DALE
Middle Name:W
Last Name:BARNER
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 1:515 WILLOW ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:TN
Mailing Address - Zip Code:37172-2816
Mailing Address - Country:US
Mailing Address - Phone:615-382-3000
Mailing Address - Fax:615-382-4300
Practice Address - Street 1:515 WILLOW ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:TN
Practice Address - Zip Code:37172-2816
Practice Address - Country:US
Practice Address - Phone:615-382-3000
Practice Address - Fax:615-382-4300
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-15
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN633111N00000X
KY3967111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN93670OtherBLUECROSS BLUESHIELD #
TNT817-09Medicare UPIN
TN93670OtherBLUECROSS BLUESHIELD #