Provider Demographics
NPI:1215098611
Name:BARNES, ROBIN MARR (DC)
Entity type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:MARR
Last Name:BARNES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1625 US HIGHWAY 206
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07930-2422
Mailing Address - Country:US
Mailing Address - Phone:908-879-5586
Mailing Address - Fax:908-879-8234
Practice Address - Street 1:1625 US HIGHWAY 206
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:NJ
Practice Address - Zip Code:07930-2422
Practice Address - Country:US
Practice Address - Phone:908-879-5586
Practice Address - Fax:908-879-8234
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMCO2748111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJBA507156Medicare PIN
NJBA507156Medicare UPIN