Provider Demographics
NPI:1841570223
Name:BARIT, BRIAN MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:MICHAEL
Last Name:BARIT
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 1:614 CLUB CIR
Mailing Address - Street 2:
Mailing Address - City:DANIELS
Mailing Address - State:WV
Mailing Address - Zip Code:25832-9216
Mailing Address - Country:US
Mailing Address - Phone:770-402-1208
Mailing Address - Fax:
Practice Address - Street 1:204 HOWARD AVE
Practice Address - Street 2:SUITE A
Practice Address - City:MULLENS
Practice Address - State:WV
Practice Address - Zip Code:25882-1421
Practice Address - Country:US
Practice Address - Phone:770-402-1208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-17
Last Update Date:2017-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV918111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor