Provider Demographics
NPI:1144350810
Name:BARNES, JASON WARD (DC)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:WARD
Last Name:BARNES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 S 14TH ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:CO
Mailing Address - Zip Code:80807-1673
Mailing Address - Country:US
Mailing Address - Phone:719-346-7810
Mailing Address - Fax:719-346-7808
Practice Address - Street 1:227 S 14TH ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:CO
Practice Address - Zip Code:80807-1673
Practice Address - Country:US
Practice Address - Phone:719-346-7810
Practice Address - Fax:719-346-7808
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5306111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO665245OtherANTHEM BLUE CROSS BLUE SH
C502658Medicare PIN
U93630Medicare UPIN