Provider Demographics
NPI:1689774945
Name:BARLOW, PAUL J (DC)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:J
Last Name:BARLOW
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5525 TWIN KNOLLS RD
Mailing Address - Street 2:STE 321
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-3266
Mailing Address - Country:US
Mailing Address - Phone:410-997-7776
Mailing Address - Fax:410-997-7776
Practice Address - Street 1:5525 TWIN KNOLLS RD
Practice Address - Street 2:STE 321
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-3266
Practice Address - Country:US
Practice Address - Phone:410-997-7776
Practice Address - Fax:410-997-7776
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD1431111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T931150Medicare ID - Type Unspecified
T931150Medicare UPIN