Provider Demographics
NPI:1538277132
Name:LOCHRIDGE, BARRY F (DC)
Entity type:Individual
Prefix:
First Name:BARRY
Middle Name:F
Last Name:LOCHRIDGE
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 1:1039 E GLENDALE ST
Mailing Address - Street 2:
Mailing Address - City:DILLON
Mailing Address - State:MT
Mailing Address - Zip Code:59725-3217
Mailing Address - Country:US
Mailing Address - Phone:406-683-5116
Mailing Address - Fax:
Practice Address - Street 1:1039 E GLENDALE ST
Practice Address - Street 2:
Practice Address - City:DILLON
Practice Address - State:MT
Practice Address - Zip Code:59725-3217
Practice Address - Country:US
Practice Address - Phone:406-683-5116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT759111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT41941OtherBLUE CROSS/BLUE SHIELD
MTU56129Medicare UPIN