Provider Demographics
NPI:1861452559
Name:BARKER, ERIC R (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:R
Last Name:BARKER
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 1:1353 WOODMAN DR
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45432-3425
Mailing Address - Country:US
Mailing Address - Phone:937-254-5480
Mailing Address - Fax:937-254-5609
Practice Address - Street 1:1353 WOODMAN DR
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45432-3425
Practice Address - Country:US
Practice Address - Phone:937-254-5480
Practice Address - Fax:937-254-5609
Is Sole Proprietor?:No
Enumeration Date:2006-03-25
Last Update Date:2008-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2925111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2146672Medicaid
OH2146672Medicaid
OHU78303Medicare UPIN