Provider Demographics
NPI:1336559251
Name:BARNICK CHIROPRACTIC, PS
Entity Type:Organization
Organization Name:BARNICK CHIROPRACTIC, PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR AND PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNICK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:360-314-2761
Mailing Address - Street 1:13307 NE HIGHWAY 99
Mailing Address - Street 2:SUITE 113
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98686-3033
Mailing Address - Country:US
Mailing Address - Phone:360-314-2761
Mailing Address - Fax:
Practice Address - Street 1:13307 NE HIGHWAY 99
Practice Address - Street 2:SUITE 113
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98686-3033
Practice Address - Country:US
Practice Address - Phone:360-314-2761
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-30
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60032144284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8878133Medicare PIN