Provider Demographics
NPI:1356576300
Name:NEEDS, BARBARA JEAN (DC)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:JEAN
Last Name:NEEDS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2819 6TH ST
Mailing Address - Street 2:
Mailing Address - City:PERU
Mailing Address - State:IL
Mailing Address - Zip Code:61354-2417
Mailing Address - Country:US
Mailing Address - Phone:815-224-1639
Mailing Address - Fax:
Practice Address - Street 1:1301 14TH AVE
Practice Address - Street 2:
Practice Address - City:MENDOTA
Practice Address - State:IL
Practice Address - Zip Code:61342-1001
Practice Address - Country:US
Practice Address - Phone:815-539-3011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-20
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-007611111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor