Provider Demographics
NPI:1104839083
Name:BARNETT, BETH SUSAN (DC)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:SUSAN
Last Name:BARNETT
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 1:2805 AZALEA PL
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-3117
Mailing Address - Country:US
Mailing Address - Phone:615-208-5030
Mailing Address - Fax:615-208-7040
Practice Address - Street 1:2805 AZALEA PL
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204-3117
Practice Address - Country:US
Practice Address - Phone:615-208-5030
Practice Address - Fax:615-208-7040
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN409111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4266312OtherAETNA
TN4347053OtherBLUE CROSS BLUE SHIELD
TN4347053OtherBLUE CROSS BLUE SHIELD