Provider Demographics
NPI:1639113772
Name:CROWE, BARBARA GRAJCAR (DC)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:GRAJCAR
Last Name:CROWE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:J
Other - Last Name:GRAJCAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:100 WEST SIXTH STREET
Mailing Address - Street 2:STE 105
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-2432
Mailing Address - Country:US
Mailing Address - Phone:610-566-2525
Mailing Address - Fax:
Practice Address - Street 1:100 W SIXTH ST
Practice Address - Street 2:STE 105
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-2428
Practice Address - Country:US
Practice Address - Phone:610-566-2525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-16
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC003243L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0032909000OtherINDEPENDENCE BLUE CROSS
PA482438OtherBLUE SHIELD
PA482438OtherBLUE SHIELD