1639128812 NPI number — BARNO FAMILY CHIROPRACTIC

Table of content: CAROLYN EDSON TAILLON M.D. (NPI 1518378942)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639128812 NPI number — BARNO FAMILY CHIROPRACTIC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BARNO FAMILY CHIROPRACTIC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1639128812
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
946 LAKE RD
Provider Second Line Business Mailing Address:
SUITE 102
Provider Business Mailing Address City Name:
AVONDALE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19311-9394
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-268-2680
Provider Business Mailing Address Fax Number:
610-268-2404

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
946 LAKE RD
Provider Second Line Business Practice Location Address:
SUITE 102
Provider Business Practice Location Address City Name:
AVONDALE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19311-9394
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-268-2680
Provider Business Practice Location Address Fax Number:
610-268-2404
Provider Enumeration Date:
05/08/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BARNO
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
DAVID
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
610-268-2680

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  DC008054 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: BA1312419 . This is a "HIGHMARK BCBS INDIV#" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1060097 . This is a "AMERICAN SPECIALTY HEALTH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1891774253 . This is a "NPI NUMBER INDIVIDUAL" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 7601504 . This is a "AETNA INDIVID # CLAIMS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 2317758000 . This is a "INDEP. BLUECROSS GROUP#" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 297BBA . This is a "CAREFIRST BCBS IND#" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: K053-0001 . This is a "CAREFIRSTBCBS SELECT IND#" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 1643149 . This is a "HIGHMARK BCBS GROUP#" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 2006124000 . This is a "INDEP. BLUECROSS INDIV.#" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 668848 . This is a "UNITED HEALTHCARE #IND" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 3647694 . This is a "AETNA # FOR REFERRALS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 9030148 . This is a "CIGNA PPO INDIV#" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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