Provider Demographics
NPI:1922148535
Name:MACNAIR, BARBRA E (LAC)
Entity Type:Individual
Prefix:MS
First Name:BARBRA
Middle Name:E
Last Name:MACNAIR
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3021 TELEGRAPH AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-2072
Mailing Address - Country:US
Mailing Address - Phone:510-649-8054
Mailing Address - Fax:510-649-9782
Practice Address - Street 1:3021 TELEGRAPH AVE
Practice Address - Street 2:SUITE B
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-2072
Practice Address - Country:US
Practice Address - Phone:510-649-8054
Practice Address - Fax:510-649-9782
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC2923171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist