Provider Demographics
NPI:1699977876
Name:BARGER CHIROPRACTIC PA
Entity type:Organization
Organization Name:BARGER CHIROPRACTIC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:BARGER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:913-334-4151
Mailing Address - Street 1:7704 STATE AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66112-2820
Mailing Address - Country:US
Mailing Address - Phone:913-334-4151
Mailing Address - Fax:913-334-0303
Practice Address - Street 1:7704 STATE AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66112-2820
Practice Address - Country:US
Practice Address - Phone:913-334-4151
Practice Address - Fax:913-334-0303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-04741111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS30249021OtherBLUECROSSBLUESHLD INDIVID
KS36369013OtherBLUECROSSBLUESHLD GROUP
KST67B344Medicare ID - Type UnspecifiedMEDICARE INDIV PROVIDER
KST670000Medicare ID - Type UnspecifiedMEDICARE GROUP