Jeffery Warren Barron, DC
Individual provider Active NPI Chiropractor · Staples, MN
NPI 1992801914 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992801914
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2481 (MN)
- Practice address
- 207 4TH St NE
Staples, MN 56479-2427 - Phone
- (218) 894-1334
- NPI assigned
- Sep 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2481 | MN | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2481 | MN | Yes |
Addresses
Primary practice location
207 4TH St NE
Staples, MN 56479-2427
Mailing address
207 4TH St NE
Staples, MN 56479-2427
Phone (218) 894-1334
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59563BA | Other | MN | BLUE CROSS |
Other providers in Staples, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.