Provider Demographics
NPI:1558487926
Name:W. EARL BARBOUR, D.C.P.A.
Entity Type:Organization
Organization Name:W. EARL BARBOUR, D.C.P.A.
Other - Org Name:WESTCHESTER CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WINFORD
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:BARBOUR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:336-885-5195
Mailing Address - Street 1:1726 WESTCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7007
Mailing Address - Country:US
Mailing Address - Phone:336-885-5195
Mailing Address - Fax:336-885-9606
Practice Address - Street 1:1726 WESTCHESTER DR
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-7007
Practice Address - Country:US
Practice Address - Phone:336-885-5195
Practice Address - Fax:336-885-9606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC712111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC02917OtherBCBS
NC244012Medicare PIN
NC02917OtherBCBS