Provider Demographics
NPI:1578624052
Name:BARKER, JASON ELLIOTT (ND)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:ELLIOTT
Last Name:BARKER
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5239 KEYSTONE CREEK CT
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80528-8556
Mailing Address - Country:US
Mailing Address - Phone:970-237-1062
Mailing Address - Fax:
Practice Address - Street 1:1103 OAK PARK DR
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-6273
Practice Address - Country:US
Practice Address - Phone:970-237-1062
Practice Address - Fax:970-226-5796
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1140175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath