Provider Demographics
NPI:1922185008
Name:BARFIELD, EBORN ALLEN II (DC)
Entity Type:Individual
Prefix:DR
First Name:EBORN
Middle Name:ALLEN
Last Name:BARFIELD
Suffix:II
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 1:3215 HENDERSON DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28546-5251
Mailing Address - Country:US
Mailing Address - Phone:910-347-6400
Mailing Address - Fax:910-347-7312
Practice Address - Street 1:3215 HENDERSON DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-5251
Practice Address - Country:US
Practice Address - Phone:910-347-6400
Practice Address - Fax:910-347-7312
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1004111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8908249Medicaid
NCT64321Medicare UPIN
NC8908249Medicaid