Provider Demographics
NPI:1770720849
Name:BARNES, NICHOLAS E (DC)
Entity type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:E
Last Name:BARNES
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 1:9586 MANCHESTER RD.
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:MO
Mailing Address - Zip Code:63119
Mailing Address - Country:US
Mailing Address - Phone:314-942-8608
Mailing Address - Fax:888-528-5527
Practice Address - Street 1:9586 MANCHESTER RD.
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:MO
Practice Address - Zip Code:63119
Practice Address - Country:US
Practice Address - Phone:314-942-8608
Practice Address - Fax:888-528-5527
Is Sole Proprietor?:No
Enumeration Date:2009-01-12
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009000023111NT0100X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NT0100XChiropractic ProvidersChiropractorThermography