Provider Demographics
NPI:1114467735
Name:BARNARD CHIROPRACTIC, HEALTH, SPORTS & WELLNESS INC
Entity type:Organization
Organization Name:BARNARD CHIROPRACTIC, HEALTH, SPORTS & WELLNESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:BARNARD
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:561-756-0088
Mailing Address - Street 1:4855 W HILLSBORO BLVD STE B9
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-4356
Mailing Address - Country:US
Mailing Address - Phone:561-626-9555
Mailing Address - Fax:
Practice Address - Street 1:4855 W HILLSBORO BLVD STE B9
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-4356
Practice Address - Country:US
Practice Address - Phone:561-626-9555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-01
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty