Provider Demographics
NPI:1841517687
Name:BARRICK, NOEL (DC)
Entity type:Individual
Prefix:DR
First Name:NOEL
Middle Name:
Last Name:BARRICK
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 1:1821 UNIVERSITY AVE W
Mailing Address - Street 2:SUITE S137
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-2801
Mailing Address - Country:US
Mailing Address - Phone:651-756-7687
Mailing Address - Fax:651-756-1826
Practice Address - Street 1:1821 UNIVERSITY AVE W
Practice Address - Street 2:SUITE S137
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-2801
Practice Address - Country:US
Practice Address - Phone:651-756-7687
Practice Address - Fax:651-756-1826
Is Sole Proprietor?:No
Enumeration Date:2010-05-03
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5360111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN350004579Medicare PIN