Provider Demographics
NPI:1093713604
Name:BARNETT, DON R (DC)
Entity Type:Individual
Prefix:DR
First Name:DON
Middle Name:R
Last Name:BARNETT
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 1:315 HIGHWAY 51 N
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38606-2346
Mailing Address - Country:US
Mailing Address - Phone:662-563-4040
Mailing Address - Fax:662-563-4040
Practice Address - Street 1:315 HIGHWAY 51 N
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:MS
Practice Address - Zip Code:38606-2346
Practice Address - Country:US
Practice Address - Phone:662-563-4040
Practice Address - Fax:662-563-4040
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-08
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS23111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00114980Medicaid
MST21262Medicare UPIN
MS350920249Medicare ID - Type Unspecified