MEDICARE: DR. WARREN R. BARCLAY D.C.

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	222-0686B	NH

General Provider Information

NPI Number	:	1255332300
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WARREN R. BARCLAY D.C.

Provider Business Mailing Address
First Line	:	5 DRACUT RD
Second Line	:
City	:	HUDSON
State	:	NH
Zip	:	03051-5007
Country	:	US
Telephone Number	:	603-886-1133
Fax Number	:	603-886-2829

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	:	603-886-2829

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

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	07/26/2012

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