Individual
PAMELA J BARGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
2045 32ND ST S, LA CROSSE, WI 54601-7026
(608) 788-7118
(608) 787-6171
Mailing address
2045 32ND ST S, LA CROSSE, WI 54601-7026
(608) 788-7118
(608) 787-6171
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1333
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350022905
RR MEDICARE#
WI
05
—
38828300
—
WI
01
—
90247SC
BC/BS INDIVIDUAL#
MN
Enumeration date
03/28/2006
Last updated
10/20/2008
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