Organization
BARR FAMILY CHIROPRACTIC & SPORTS CLINIC
Active
Organization
BARR FAMILY CHIROPRACTIC & SPORTS CLINIC
Active
Other names
Barr Family Chiropractic & Sports Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES THOMAS BARR D.C. (PRESIDENT)
(651) 429-2279
Entity
Organization
Contact information
Practice address
4719 BANNING AVE, WHITE BEAR LAKE, MN 55110-3217
(651) 429-2279
Mailing address
4719 BANNING AVE, WHITE BEAR LAKE, MN 55110-3217
(651) 429-2279
(651) 429-2361
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
2310
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
373R0CA
BLUE CROSS BLUE SHIELD GROUP NUMBER
MN
01
—
C03521
MEDICARE GROUP NUMBER
MN
Enumeration date
10/23/2007
Last updated
10/19/2011
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