Healthcare Provider Details

I. General information

NPI: 1083675417
Provider Name (Legal Business Name): BARGE & BARGE CHIROPRACTIC CENTER LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2006
Last Update Date: 11/01/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2045 32ND ST S
LA CROSSE WI
54601-7026
US

IV. Provider business mailing address

2045 32ND ST S
LA CROSSE WI
54601-7026
US

V. Phone/Fax

Practice location:
  • Phone: 608-788-7118
  • Fax: 608-787-6171
Mailing address:
  • Phone: 608-788-7118
  • Fax: 608-787-6171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. PAMELA J BARGE
Title or Position: PRESIDENT/OWNER
Credential: D.C.C
Phone: 608-788-7118