Provider Demographics
NPI:1679978837
Name:BARREN RIVER CHIROPRACTIC, PLLC
Entity type:Organization
Organization Name:BARREN RIVER CHIROPRACTIC, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:CAINE
Authorized Official - Last Name:STARNES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:270-834-8922
Mailing Address - Street 1:205 COLUMBIA AVE
Mailing Address - Street 2:
Mailing Address - City:GLASGOW
Mailing Address - State:KY
Mailing Address - Zip Code:42141-2931
Mailing Address - Country:US
Mailing Address - Phone:270-834-8922
Mailing Address - Fax:270-834-1730
Practice Address - Street 1:205 COLUMBIA AVE
Practice Address - Street 2:
Practice Address - City:GLASGOW
Practice Address - State:KY
Practice Address - Zip Code:42141-2931
Practice Address - Country:US
Practice Address - Phone:270-834-8922
Practice Address - Fax:270-834-1730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-30
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5450111N00000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty