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Individual

GLENN J BARNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C, Q.M.E.

Contact information

Practice address
259 NEVADA STREET, AUBURN, CA 95603
(530) 887-2150
(530) 887-2155
Mailing address
259 NEVADA ST, SUITE #10, AUBURN, CA 95603-4617
(530) 887-2150
(530) 887-2155

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC218820
CA
111NS0005X
Sports Physician Chiropractor
Primary
DC21882
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
680441279
TAX ID #
CA
Enumeration date
09/20/2006
Last updated
09/15/2011
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