Provider Demographics
NPI:1073864690
Name:PREMIER CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:PREMIER CHIROPRACTIC, INC.
Other - Org Name:LARRY G. BARNHILL, D.C.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:G
Authorized Official - Last Name:BARNHILL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-424-7500
Mailing Address - Street 1:8015 HOLLAND CT
Mailing Address - Street 2:UNIT B
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80005-2289
Mailing Address - Country:US
Mailing Address - Phone:303-424-7500
Mailing Address - Fax:
Practice Address - Street 1:7878 WADSWORTH BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-2146
Practice Address - Country:US
Practice Address - Phone:303-424-7500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-21
Last Update Date:2012-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO02333111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty