Provider Demographics
NPI:1962660902
Name:BARONE CHIROPRACTIC CLINIC P.S.
Entity Type:Organization
Organization Name:BARONE CHIROPRACTIC CLINIC P.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:BARONE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:360-428-7883
Mailing Address - Street 1:124 N 18TH ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98273-3525
Mailing Address - Country:US
Mailing Address - Phone:360-428-7883
Mailing Address - Fax:360-424-7223
Practice Address - Street 1:124 N 18TH ST
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273-3525
Practice Address - Country:US
Practice Address - Phone:360-428-7883
Practice Address - Fax:360-424-7223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-27
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA601722282261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1427119635OtherINDIVIDUAL NPI
WA393373001OtherGROUP HEALTH
WA54752OtherREGENCE
WA393373001OtherGROUP HEALTH