Provider Demographics
NPI:1245365667
Name:BARBIER, JOSEPH ASSUMPTION (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:ASSUMPTION
Last Name:BARBIER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:JOSEPH
Other - Middle Name:A
Other - Last Name:BARBIER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:PO BOX 717
Mailing Address - Street 2:
Mailing Address - City:LONG VALLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07853-0717
Mailing Address - Country:US
Mailing Address - Phone:908-876-5750
Mailing Address - Fax:
Practice Address - Street 1:1219 LIBERTY AVE
Practice Address - Street 2:
Practice Address - City:HILLSIDE
Practice Address - State:NJ
Practice Address - Zip Code:07205-2055
Practice Address - Country:US
Practice Address - Phone:908-876-5750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00127100111N00000X
FLCH 1525111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
22-1899056OtherFEDERAL ID NUMBER
NJ453319Medicare ID - Type Unspecified