Provider Demographics
NPI:1457315483
Name:BARNES FAMILY CHIROPRACTIC CENTER, LLC
Entity Type:Organization
Organization Name:BARNES FAMILY CHIROPRACTIC CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LLC MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:B
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:731-632-9100
Mailing Address - Street 1:112 S MAGNOLIA ST
Mailing Address - Street 2:
Mailing Address - City:ADAMSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38310-2214
Mailing Address - Country:US
Mailing Address - Phone:731-632-9100
Mailing Address - Fax:731-632-1109
Practice Address - Street 1:112 S MAGNOLIA ST
Practice Address - Street 2:
Practice Address - City:ADAMSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38310-2214
Practice Address - Country:US
Practice Address - Phone:731-632-9100
Practice Address - Fax:731-632-1109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1363111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3714058Medicaid
TN4053382OtherBC/BS OF TN GROUP NUMBER
TN3714058Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER