Provider Demographics
NPI:1962525568
Name:BARNES, DALE ARTHUR (DC)
Entity type:Individual
Prefix:DR
First Name:DALE
Middle Name:ARTHUR
Last Name:BARNES
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 1:2115 KAYLEE DR
Mailing Address - Street 2:
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:32162-3379
Mailing Address - Country:US
Mailing Address - Phone:352-205-7447
Mailing Address - Fax:
Practice Address - Street 1:2115 KAYLEE DR
Practice Address - Street 2:
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32162-3379
Practice Address - Country:US
Practice Address - Phone:352-205-7447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 1581111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL89023Medicare ID - Type Unspecified