Provider Demographics
NPI:1851492854
Name:SWOBODA, BARBARA J (DO)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:J
Last Name:SWOBODA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 758
Mailing Address - Street 2:221 3RD AVE N
Mailing Address - City:LAKEFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:56150-0758
Mailing Address - Country:US
Mailing Address - Phone:507-662-5176
Mailing Address - Fax:507-662-5178
Practice Address - Street 1:221 3RD AVE N
Practice Address - Street 2:
Practice Address - City:LAKEFIELD
Practice Address - State:MN
Practice Address - Zip Code:56150-0758
Practice Address - Country:US
Practice Address - Phone:507-662-5176
Practice Address - Fax:507-662-5178
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2685111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN27826OtherSIOUX VALLEY HEALTH PLAN
MN36B24LAOtherBLUE CROSS/BLUE SHIELD
MN36B25SWOtherBCBS MN PIN#
MN27826OtherSIOUX VALLEY HEALTH PLAN