Provider Demographics
NPI:1518021195
Name:STEWART, BARRY HAMILTON (D C)
Entity Type:Individual
Prefix:
First Name:BARRY
Middle Name:HAMILTON
Last Name:STEWART
Suffix:
Gender:M
Credentials:D C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 CEDAR RD STE B
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-8375
Mailing Address - Country:US
Mailing Address - Phone:757-547-4000
Mailing Address - Fax:757-547-0098
Practice Address - Street 1:630 CEDAR RD STE B
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-8375
Practice Address - Country:US
Practice Address - Phone:757-547-4000
Practice Address - Fax:757-547-0098
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104555604111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAU84461Medicare UPIN
VAC09787Medicare ID - Type Unspecified