Provider Demographics
NPI:1467767962
Name:DUBARRY CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:DUBARRY CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ETIENNE
Authorized Official - Middle Name:
Authorized Official - Last Name:DUBARRY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-622-9197
Mailing Address - Street 1:11211 PROSPERITY FARMS RD.
Mailing Address - Street 2:SUITE B-204
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-3401
Mailing Address - Country:US
Mailing Address - Phone:561-622-9197
Mailing Address - Fax:561-622-4964
Practice Address - Street 1:11211 PROSPERITY FARMS RD.
Practice Address - Street 2:SUITE B-204
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-3401
Practice Address - Country:US
Practice Address - Phone:561-622-9197
Practice Address - Fax:561-622-4964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-10
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH-0006070111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty