Provider Demographics
NPI:1780956367
Name:BARR, SETH ANDREW (DC)
Entity type:Individual
Prefix:
First Name:SETH
Middle Name:ANDREW
Last Name:BARR
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 1:525 MAIN ST STE 120
Mailing Address - Street 2:
Mailing Address - City:DELAFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53018-1447
Mailing Address - Country:US
Mailing Address - Phone:262-337-9645
Mailing Address - Fax:262-337-9954
Practice Address - Street 1:525 MAIN ST STE 120
Practice Address - Street 2:
Practice Address - City:DELAFIELD
Practice Address - State:WI
Practice Address - Zip Code:53018-1447
Practice Address - Country:US
Practice Address - Phone:262-337-9645
Practice Address - Fax:262-337-9954
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-30
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4811-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor