Provider Demographics
NPI:1679613483
Name:BARBEE, MARK R J (DC)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:R J
Last Name:BARBEE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:750 WEST DIMOND BLVD
Mailing Address - Street 2:STE 121
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99515
Mailing Address - Country:US
Mailing Address - Phone:907-344-0033
Mailing Address - Fax:907-344-6332
Practice Address - Street 1:750 WEST DIMOND
Practice Address - Street 2:STE 121
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99515
Practice Address - Country:US
Practice Address - Phone:907-344-0033
Practice Address - Fax:907-344-6332
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKAA161111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T66989Medicare UPIN