Provider Demographics
NPI:1932358553
Name:BARYLSKI, CHAD RYAN (NP-C, RN, DC, DACBSP)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:RYAN
Last Name:BARYLSKI
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Gender:M
Credentials:NP-C, RN, DC, DACBSP
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Mailing Address - Street 1:500 DOYLE PARK DR
Mailing Address - Street 2:G04
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95405-4558
Mailing Address - Country:US
Mailing Address - Phone:707-303-8360
Mailing Address - Fax:707-303-8361
Practice Address - Street 1:500 DOYLE PARK DR
Practice Address - Street 2:G04
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95405-4558
Practice Address - Country:US
Practice Address - Phone:707-303-8360
Practice Address - Fax:707-303-8361
Is Sole Proprietor?:No
Enumeration Date:2008-09-18
Last Update Date:2021-12-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA30688111NS0005X
CA23242363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No111NS0005XChiropractic ProvidersChiropractorSports Physician