Provider Demographics
NPI:1336194182
Name:BARNES CHIROPRACTIC & NUTRITION CENTER
Entity Type:Organization
Organization Name:BARNES CHIROPRACTIC & NUTRITION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS-ANN
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:SR
Authorized Official - Credentials:PHD
Authorized Official - Phone:215-489-2696
Mailing Address - Street 1:1019 N EASTON RD
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-1018
Mailing Address - Country:US
Mailing Address - Phone:215-489-2696
Mailing Address - Fax:215-489-8786
Practice Address - Street 1:1019 N EASTON RD
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-1018
Practice Address - Country:US
Practice Address - Phone:215-489-2696
Practice Address - Fax:215-489-8786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2012-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-003663L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA069362Medicare ID - Type Unspecified
PA1509985Medicare UPIN
PA2200217000Medicare UPIN
PA2917851Medicare UPIN
PABA1509985Medicare UPIN