Provider Demographics
NPI:1124053434
Name:BARNES, MARK CHRISTIAN (DC)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:CHRISTIAN
Last Name:BARNES
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 1:160 CANAL STREET
Mailing Address - Street 2:SUITE 6
Mailing Address - City:HOLLIDAYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16648
Mailing Address - Country:US
Mailing Address - Phone:814-695-0700
Mailing Address - Fax:814-695-0700
Practice Address - Street 1:160 CANAL ST STE 6
Practice Address - Street 2:
Practice Address - City:HOLLIDAYSBURG
Practice Address - State:PA
Practice Address - Zip Code:16648-1767
Practice Address - Country:US
Practice Address - Phone:814-695-0700
Practice Address - Fax:814-695-0700
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009509111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
V08744Medicare UPIN
PA099655Medicare ID - Type Unspecified
PA099655Medicare ID - Type Unspecified