MEDICARE: DR. WARREN R. BARCLAY, D.C. P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2220686B	NH

General Provider Information

NPI Number	:	1013225275
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. WARREN R. BARCLAY, D.C. P.A.

Provider Business Mailing Address
First Line	:	5 DRACUT RD
Second Line	:
City	:	HUDSON
State	:	NH
Zip	:	03051-5007
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5 DRACUT RD
Second Line	:
City	:	HUDSON
State	:	NH
Zip	:	03051-5007
Country	:	US
Telephone Number	:	603-886-1133
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/DIRECTOR
Name	:	WARREN BARCLAY
Credential	:
Telephone Number	:	603-886-1133

Provider Enumeration Date	:	09/21/2010
Last Update Date	:	09/21/2010

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