Healthcare Provider Details

I. General information

NPI: 1790821056
Provider Name (Legal Business Name): DANIEL W. BARLOW D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

595 MOUNT ROSE ST
RENO NV
89509-3363
US

IV. Provider business mailing address

595 MOUNT ROSE ST
RENO NV
89509-3363
US

V. Phone/Fax

Practice location:
  • Phone: 775-786-9006
  • Fax: 775-786-9007
Mailing address:
  • Phone: 775-786-9006
  • Fax: 775-786-9007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberB717
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: