Healthcare Provider Details

I. General information

NPI: 1437151594
Provider Name (Legal Business Name): THE BARCZYK CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1721 W PINHOOK RD
LAFAYETTE LA
70508-3723
US

IV. Provider business mailing address

1721 W PINHOOK RD
LAFAYETTE LA
70508-3723
US

V. Phone/Fax

Practice location:
  • Phone: 337-266-9949
  • Fax: 337-266-9951
Mailing address:
  • Phone: 337-266-9949
  • Fax: 337-266-9951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1004
License Number StateLA

VIII. Authorized Official

Name: DR. DAVID JAMES BARCZYK
Title or Position: OWNER/CHIROPRACTIC PHYSICIAN
Credential: DC
Phone: 337-266-9949