MEDICARE: DR. JEFFERY DOUGLAS BARGER DC

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	01-04741	KS

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	350052440	OTHER	KS	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	30249021	OTHER	KS	BLUE CROSS & BLUE SHIELD
3	36369013	OTHER	KS	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1124113436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFERY DOUGLAS BARGER DC

Provider Business Mailing Address
First Line	:	7704 STATE AVE
Second Line	:	SUITE 1
City	:	KANSAS CITY
State	:	KS
Zip	:	66112-2820
Country	:	US
Telephone Number	:	913-334-4151
Fax Number	:	913-334-0303

Provider Business Practice Location Address
First Line	:	7704 STATE AVE
Second Line	:	SUITE 1
City	:	KANSAS CITY
State	:	KS
Zip	:	66112-2820
Country	:	US
Telephone Number	:	913-334-4151
Fax Number	:	913-334-0303

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	07/08/2007

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