Individual
DR. JOHN LAWRENCE BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
13890 BRADDOCK RD STE 108, CENTREVILLE, VA 20121-2436
(703) 803-8966
Mailing address
13890 BRADDOCK RD STE 108, CENTREVILLE, VA 20121-2436
(703) 803-8966
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001382
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0975577
AETNA HMO PROVIDER
VA
01
—
291742
ANTHEM BC/BS PIN
VA
01
—
5674417
AETNA PPO PROVIDER
VA
01
—
940026548
PHCS PROVIDER
—
Enumeration date
02/06/2007
Last updated
02/09/2009
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