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NPI Code Detail

MEDICARE: BARRICKLOW CHIROPRACTIC CENTER, PLLC

MEDICARE: BARRICKLOW CHIROPRACTIC CENTER, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor2301005292MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083893614
Entity Type Code : Organization
Provider Name (Legal Business Name) : BARRICKLOW CHIROPRACTIC CENTER, PLLC
Provider Business Mailing Address
First Line : 411 W LAKE LANSING RD.
Second Line : STE A105
City : EAST LANSING
State : MI
Zip : 48823-8404
Country : US
Telephone Number : 517-336-7711
Fax Number : 517-336-7737
Provider Business Practice Location Address
First Line : 411 W LAKE LANSING RD.
Second Line : STE A105
City : EAST LANSING
State : MI
Zip : 48823-8404
Country : US
Telephone Number : 517-336-7711
Fax Number : 517-336-7737
Authorized Official
Title or Position : PRESIDENT
Name : DR. ROBIN LOWELL BARRICKLOW
Credential : D.C.
Telephone Number : 517-336-7711
Provider Enumeration Date : 10/31/2007
Last Update Date : 10/31/2007

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