Provider Demographics
NPI:1659561959
Name:BARANSKI CHIROPRACTIC INCORPORATED
Entity Type:Organization
Organization Name:BARANSKI CHIROPRACTIC INCORPORATED
Other - Org Name:ADVANCED SPINE & SPORT CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:BARANSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:805-642-4061
Mailing Address - Street 1:4601 TELEPHONE RD STE 110
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-5671
Mailing Address - Country:US
Mailing Address - Phone:805-642-4061
Mailing Address - Fax:805-642-7295
Practice Address - Street 1:4601 TELEPHONE RD STE 110
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-5671
Practice Address - Country:US
Practice Address - Phone:805-642-4061
Practice Address - Fax:805-642-7295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-01
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27583111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty