Provider Demographics
NPI:1376509455
Name:BARRICKLOW, ROBIN LOWELL (DC)
Entity type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:LOWELL
Last Name:BARRICKLOW
Suffix:
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 1:411 W LAKE LANSING RD
Mailing Address - Street 2:SUITE A-105
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-8445
Mailing Address - Country:US
Mailing Address - Phone:517-336-7711
Mailing Address - Fax:517-336-7737
Practice Address - Street 1:411 W LAKE LANSING RD
Practice Address - Street 2:SUITE A-105
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-8445
Practice Address - Country:US
Practice Address - Phone:517-336-7711
Practice Address - Fax:517-336-7737
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301005292111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3051424Medicaid
MI0P23990Medicare ID - Type Unspecified
MI3051424Medicaid