Provider Demographics
NPI:1194898353
Name:BARBER, JAMES M (DC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:M
Last Name:BARBER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:1400 BARBARA LOOP SE STE E
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87124-1088
Mailing Address - Country:US
Mailing Address - Phone:505-891-2667
Mailing Address - Fax:505-891-3593
Practice Address - Street 1:1400 BARBARA LOOP SE
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87124-1088
Practice Address - Country:US
Practice Address - Phone:505-891-2667
Practice Address - Fax:505-891-3593
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NM1180111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
349534402Medicare PIN