Provider Demographics
NPI:1467711663
Name:ST. ONGE, BARRY JOHN JR (DC)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:JOHN
Last Name:ST. ONGE
Suffix:JR
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 1:18 BROOK ST
Mailing Address - Street 2:
Mailing Address - City:DERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03038-2603
Mailing Address - Country:US
Mailing Address - Phone:508-612-4393
Mailing Address - Fax:
Practice Address - Street 1:60 ROCKINGHAM RD
Practice Address - Street 2:UNIT 10
Practice Address - City:WINDHAM
Practice Address - State:NH
Practice Address - Zip Code:03087-1347
Practice Address - Country:US
Practice Address - Phone:603-458-6700
Practice Address - Fax:603-912-5083
Is Sole Proprietor?:No
Enumeration Date:2012-05-08
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH898111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor