Provider Demographics
NPI:1558305524
Name:BARTON, JOSEPH BENJAMIN (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:BENJAMIN
Last Name:BARTON
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 1:4531 HARD SCRABBLE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-8561
Mailing Address - Country:US
Mailing Address - Phone:803-419-8700
Mailing Address - Fax:803-865-6760
Practice Address - Street 1:4531 HARD SCRABBLE RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-8561
Practice Address - Country:US
Practice Address - Phone:803-419-8700
Practice Address - Fax:803-865-6760
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-16
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2581111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCU85768A513Medicare UPIN
SCA513Medicare PIN