Provider Demographics
NPI:1770653776
Name:SCHLEIDER, BARRY MARTIN (DC)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:MARTIN
Last Name:SCHLEIDER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1182 SE BRISTOL ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92707-5302
Mailing Address - Country:US
Mailing Address - Phone:714-546-3472
Mailing Address - Fax:714-546-3477
Practice Address - Street 1:1182 SE BRISTOL ST
Practice Address - Street 2:SUITE 200
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92707-5302
Practice Address - Country:US
Practice Address - Phone:714-546-3472
Practice Address - Fax:714-546-3477
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC13673111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor