Provider Demographics
NPI:1831277219
Name:MYERS, BARRY L (DR OF CHIROPRACTIC)
Entity type:Individual
Prefix:
First Name:BARRY
Middle Name:L
Last Name:MYERS
Suffix:
Gender:M
Credentials:DR OF CHIROPRACTIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 FREDERICK STREET
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-3603
Mailing Address - Country:US
Mailing Address - Phone:717-632-2702
Mailing Address - Fax:717-632-2702
Practice Address - Street 1:225 FREDERICK STREET
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-3603
Practice Address - Country:US
Practice Address - Phone:717-632-2702
Practice Address - Fax:717-632-2702
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC 003033 L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
141159Medicare ID - Type Unspecified
T72900Medicare UPIN