1639128812 NPI number — BARNO FAMILY CHIROPRACTIC

Table of content: (NPI 1639128812)

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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