Healthcare Provider Details

I. General information

NPI: 1457816761
Provider Name (Legal Business Name): DEREK EDWARD NEUMEIER BARKALOW DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/31/2019
Last Update Date: 01/31/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 CAMINO EL ESTERO STE 103
MONTEREY CA
93940-3231
US

IV. Provider business mailing address

550 CAMINO EL ESTERO STE 103
MONTEREY CA
93940-3231
US

V. Phone/Fax

Practice location:
  • Phone: 831-655-3255
  • Fax: 831-655-3443
Mailing address:
  • Phone: 831-655-3255
  • Fax: 831-655-3443

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number34414
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: