Provider Demographics
NPI:1730491861
Name:BARRY FAMILY CHIROPRACTIC INC
Entity Type:Organization
Organization Name:BARRY FAMILY CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BARRY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:805-201-2909
Mailing Address - Street 1:30 W MISSION ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-2433
Mailing Address - Country:US
Mailing Address - Phone:805-201-2909
Mailing Address - Fax:805-201-2931
Practice Address - Street 1:30 W MISSION ST
Practice Address - Street 2:SUITE 2
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2433
Practice Address - Country:US
Practice Address - Phone:805-201-2909
Practice Address - Fax:805-201-2931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAV04769Medicare UPIN
CAV04738Medicare UPIN