Provider Demographics
NPI:1306918875
Name:BARANSKI, JAMES R (DC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:R
Last Name:BARANSKI
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 1:4601 TELEPHONE ROAD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-5671
Mailing Address - Country:US
Mailing Address - Phone:805-642-4061
Mailing Address - Fax:
Practice Address - Street 1:4601 TELEPHONE RD STE 110
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-5671
Practice Address - Country:US
Practice Address - Phone:805-642-4061
Practice Address - Fax:805-642-7295
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27583111NS0005X
CA27583111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
No111N00000XChiropractic ProvidersChiropractor