Provider Demographics
NPI:1639924020
Name:BARZ, JACQUELINE JO (DC)
Entity Type:Individual
Prefix:DR
First Name:JACQUELINE
Middle Name:JO
Last Name:BARZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WAUKON
Mailing Address - State:IA
Mailing Address - Zip Code:52172-1850
Mailing Address - Country:US
Mailing Address - Phone:563-217-2960
Mailing Address - Fax:563-794-5038
Practice Address - Street 1:504 W MAIN ST
Practice Address - Street 2:
Practice Address - City:WAUKON
Practice Address - State:IA
Practice Address - Zip Code:52172-1850
Practice Address - Country:US
Practice Address - Phone:563-217-2960
Practice Address - Fax:563-794-5038
Is Sole Proprietor?:No
Enumeration Date:2024-04-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA124365111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor