Provider Demographics
NPI:1982073763
Name:BARR CHIROPRACTIC INC
Entity Type:Organization
Organization Name:BARR CHIROPRACTIC INC
Other - Org Name:BARR CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:BARR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:715-362-6505
Mailing Address - Street 1:1404 N STEVENS ST
Mailing Address - Street 2:
Mailing Address - City:RHINELANDER
Mailing Address - State:WI
Mailing Address - Zip Code:54501-2225
Mailing Address - Country:US
Mailing Address - Phone:715-362-6505
Mailing Address - Fax:715-365-5668
Practice Address - Street 1:1404 N STEVENS ST
Practice Address - Street 2:
Practice Address - City:RHINELANDER
Practice Address - State:WI
Practice Address - Zip Code:54501-2225
Practice Address - Country:US
Practice Address - Phone:715-362-6505
Practice Address - Fax:715-365-5668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-22
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3079-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty