Healthcare Provider Details
I. General information
NPI: 1023324431
Provider Name (Legal Business Name): BARNHART CHIROPRACTIC & WELLNESS PLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/23/2010
Last Update Date: 09/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5554 REDBUD HIGHWAY
HONAKER VA
24260
US
IV. Provider business mailing address
PO BOX 2109
HONAKER VA
24260-2109
US
V. Phone/Fax
- Phone: 276-873-6222
- Fax: 276-873-6222
- Phone: 276-873-6222
- Fax: 276-873-6222
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 0104556684 |
| License Number State | VA |
VIII. Authorized Official
Name:
ERIC
K
BARNHART
Title or Position: PHYSICIAN/OWNER
Credential: DC
Phone: 276-873-6222