Provider Demographics
NPI:1568632347
Name:BARTON, DUSTIN JAMES
Entity Type:Individual
Prefix:DR
First Name:DUSTIN
Middle Name:JAMES
Last Name:BARTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3550 42ND ST SW
Mailing Address - Street 2:APT. #209
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58104-6962
Mailing Address - Country:US
Mailing Address - Phone:701-269-2810
Mailing Address - Fax:
Practice Address - Street 1:3550 42ND ST SW
Practice Address - Street 2:APT. #209
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104-6962
Practice Address - Country:US
Practice Address - Phone:701-269-2810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-07
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND806111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor