Provider Demographics
NPI:1811485220
Name:BARNOSKY, JOHN ALLAN (DC)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:ALLAN
Last Name:BARNOSKY
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 1:10697 FREEDOM ST
Mailing Address - Street 2:
Mailing Address - City:GARRETTSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44231-1130
Mailing Address - Country:US
Mailing Address - Phone:330-527-5606
Mailing Address - Fax:330-527-5608
Practice Address - Street 1:10697 FREEDOM ST
Practice Address - Street 2:
Practice Address - City:GARRETTSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44231-1130
Practice Address - Country:US
Practice Address - Phone:330-527-5606
Practice Address - Fax:330-527-5608
Is Sole Proprietor?:No
Enumeration Date:2018-05-01
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDC04814111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor