Provider Demographics
NPI:1811530751
Name:BARROW, CHELSEA ALLAIRE
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:ALLAIRE
Last Name:BARROW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 217
Mailing Address - Street 2:
Mailing Address - City:ARLEE
Mailing Address - State:MT
Mailing Address - Zip Code:59821-0217
Mailing Address - Country:US
Mailing Address - Phone:406-360-7769
Mailing Address - Fax:
Practice Address - Street 1:33498 JOCKO RD
Practice Address - Street 2:
Practice Address - City:ARLEE
Practice Address - State:MT
Practice Address - Zip Code:59821-9343
Practice Address - Country:US
Practice Address - Phone:406-360-7769
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-23
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1003XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Medical Technicians