Healthcare Provider Details

I. General information

NPI: 1043240849
Provider Name (Legal Business Name): BARLEY FAMILY HEALTHCARE & REHABILITATION PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 03/05/2021
Certification Date: 03/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 HUTTLESTON AVE
FAIRHAVEN MA
02719-1605
US

IV. Provider business mailing address

270 HUTTLESTON AVE
FAIRHAVEN MA
02719-1605
US

V. Phone/Fax

Practice location:
  • Phone: 508-997-9100
  • Fax: 508-993-5854
Mailing address:
  • Phone: 508-997-9100
  • Fax: 508-993-5854

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. DENNIS A BARLEY
Title or Position: DIRECTOR
Credential: D.C.
Phone: 508-997-9100