Provider Demographics
NPI:1568551588
Name:WINKLER, BARRY J (DC)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:J
Last Name:WINKLER
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 1:803 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57401-6018
Mailing Address - Country:US
Mailing Address - Phone:605-225-8288
Mailing Address - Fax:605-225-8257
Practice Address - Street 1:803 S MAIN ST
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-6018
Practice Address - Country:US
Practice Address - Phone:605-225-8288
Practice Address - Fax:605-225-8257
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2015-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD757111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD7604390Medicaid
SD350021218OtherRAILROAD MEDICARE
SD350021218OtherRAILROAD MEDICARE