Provider Demographics
NPI:1962516914
Name:BARR, DANIEL M (DC)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:M
Last Name:BARR
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 1:4361 AIDAN LN
Mailing Address - Street 2:
Mailing Address - City:NORTH PORT
Mailing Address - State:FL
Mailing Address - Zip Code:34287-4917
Mailing Address - Country:US
Mailing Address - Phone:941-429-0070
Mailing Address - Fax:941-429-0032
Practice Address - Street 1:4361 AIDAN LANE
Practice Address - Street 2:
Practice Address - City:NORTH PORT
Practice Address - State:FL
Practice Address - Zip Code:34287
Practice Address - Country:US
Practice Address - Phone:941-429-0070
Practice Address - Fax:941-429-0032
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2015-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0004687111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL70535Medicare ID - Type Unspecified
FL70535Medicare PIN