Provider Demographics
NPI:1891774253
Name:BARNO, MICHAEL DAVID (DC)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:DAVID
Last Name:BARNO
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 1:763 WICKERTON RD
Mailing Address - Street 2:
Mailing Address - City:WEST GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19390-9720
Mailing Address - Country:US
Mailing Address - Phone:610-869-3510
Mailing Address - Fax:
Practice Address - Street 1:946 LAKE RD
Practice Address - Street 2:SUITE 102
Practice Address - City:AVONDALE
Practice Address - State:PA
Practice Address - Zip Code:19311-9394
Practice Address - Country:US
Practice Address - Phone:610-268-2680
Practice Address - Fax:610-268-2404
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC008054111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA11213063OtherCAQH NUMBER
PA2006124000OtherINDEPENDENCE BC INDIVID#
PA2317758000OtherAMERIHEALTH GROUP #
PA1643149OtherHIGHMARK BCBS GROUP #
PA2246214OtherFIRSTHEALTH PROVIDER #
PA297BBAOtherCAREFIRST BCBCS INDIVID #
PA668848OtherUNITED HELATHCARE PROV#
PA2317758000OtherINDEPENDENCE BC GROUP#
PA3647694OtherAETNA HMO REFER #
PA7601504OtherAETNA PROVIDER #-CLAIMS
PABA1312419OtherHIGHMARK BCBS INDIVID. #
PAK053-0001OtherCAREFIRST GHMSI #
PAV01256Medicare UPIN
PA083119Medicare ID - Type UnspecifiedPROVIDER NUMBER