Provider Demographics
NPI:1285715706
Name:KLEIN, BARRY A (DC)
Entity type:Individual
Prefix:DR
First Name:BARRY
Middle Name:A
Last Name:KLEIN
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 1:2514 E WALNUT AVE
Mailing Address - Street 2:SUITE 10
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30721-8785
Mailing Address - Country:US
Mailing Address - Phone:706-277-3770
Mailing Address - Fax:706-277-3772
Practice Address - Street 1:2514 E WALNUT AVE
Practice Address - Street 2:SUITE 10
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30721-8785
Practice Address - Country:US
Practice Address - Phone:706-277-3770
Practice Address - Fax:706-277-3772
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR005987111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA35ZCFNFMedicaid
GA35ZCFNFMedicare ID - Type Unspecified
GA35ZCFNFMedicaid