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Contact Information

BARR FAMILY CHIROPRACTIC & SPORTS CLINIC
4719 BANNING AVE
WHITE BEAR LAKE, MN55110-3217
 Phone: 651-429-2279
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BARR FAMILY CHIROPRACTIC SPORTS CLINIC · (Female)

NPI Number 1154510451
Status Active
Credentials
Entity Individual
Enumeration date 10/23/2007
Last updated 10/19/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # 2310
  • MN Other 373R0CA BLUE CROSS BLUE SHIELD GROUP NUMBER
  • MN Other C03521 MEDICARE GROUP NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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