Provider Demographics
NPI:1366548562
Name:HAND, BARRY G (DC)
Entity type:Individual
Prefix:DR
First Name:BARRY
Middle Name:G
Last Name:HAND
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 1:1630 S LEMAY AVE
Mailing Address - Street 2:STE 4
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525
Mailing Address - Country:US
Mailing Address - Phone:970-221-9300
Mailing Address - Fax:970-224-2448
Practice Address - Street 1:1630 S LEMAY AVE
Practice Address - Street 2:STE 4
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525
Practice Address - Country:US
Practice Address - Phone:970-221-9300
Practice Address - Fax:970-224-2448
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4160111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO46593Medicare ID - Type Unspecified