Provider Demographics
NPI:1477974236
Name:BARBEE, SAMUEL JONATHAN (DC)
Entity Type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:JONATHAN
Last Name:BARBEE
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 1:981 HIGHWAY 98 E
Mailing Address - Street 2:SUITE 9
Mailing Address - City:DESTIN
Mailing Address - State:FL
Mailing Address - Zip Code:32541-2584
Mailing Address - Country:US
Mailing Address - Phone:850-830-5407
Mailing Address - Fax:
Practice Address - Street 1:981 HIGHWAY 98 E
Practice Address - Street 2:SUITE 9
Practice Address - City:DESTIN
Practice Address - State:FL
Practice Address - Zip Code:32541-2584
Practice Address - Country:US
Practice Address - Phone:850-830-5407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-21
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX012298-1111N00000X
FLCH11531111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor