Provider Demographics
NPI:1508885351
Name:STOWERS, BARRY ALAN (DC)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:ALAN
Last Name:STOWERS
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 1:111 LEWIS ST
Mailing Address - Street 2:
Mailing Address - City:OAK HILL
Mailing Address - State:WV
Mailing Address - Zip Code:25901-2925
Mailing Address - Country:US
Mailing Address - Phone:304-465-0561
Mailing Address - Fax:304-465-0562
Practice Address - Street 1:111 LEWIS ST
Practice Address - Street 2:
Practice Address - City:OAK HILL
Practice Address - State:WV
Practice Address - Zip Code:25901-2925
Practice Address - Country:US
Practice Address - Phone:304-465-0561
Practice Address - Fax:304-465-0562
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV286111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0131563-000Medicaid
WV0131563-000Medicaid
WV0470744Medicare PIN