Provider Demographics
NPI:1073648697
Name:BARNET, MARGOT R (DC)
Entity Type:Individual
Prefix:DR
First Name:MARGOT
Middle Name:R
Last Name:BARNET
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 1:121 GLENDALE ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01602-2841
Mailing Address - Country:US
Mailing Address - Phone:508-752-3404
Mailing Address - Fax:
Practice Address - Street 1:122 ELM ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01609-1902
Practice Address - Country:US
Practice Address - Phone:508-754-6221
Practice Address - Fax:508-755-4741
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2014-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MACH 1447111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY35990Medicare PIN