Provider Demographics
NPI:1508162199
Name:BARROW, DENNIS PAUL (LAC DIPLAC)
Entity Type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:PAUL
Last Name:BARROW
Suffix:
Gender:M
Credentials:LAC DIPLAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3201 BEECH ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20015-2207
Mailing Address - Country:US
Mailing Address - Phone:202-213-8059
Mailing Address - Fax:
Practice Address - Street 1:3201 BEECH ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20015-2207
Practice Address - Country:US
Practice Address - Phone:202-213-8059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-31
Last Update Date:2011-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCAC30065171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCAC30065OtherHEALTH PROFESSIONAL LICENSE, BOARD OF MEDICINE, ACUPUNCTURE