Provider Demographics
NPI:1164421830
Name:BARRETT, JOHN S (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:S
Last Name:BARRETT
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 1:4 MILLER LN
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-1469
Mailing Address - Country:US
Mailing Address - Phone:504-417-2555
Mailing Address - Fax:
Practice Address - Street 1:900 W AIRLINE HWY
Practice Address - Street 2:
Practice Address - City:LA PLACE
Practice Address - State:LA
Practice Address - Zip Code:70068-3816
Practice Address - Country:US
Practice Address - Phone:985-652-8100
Practice Address - Fax:985-652-8411
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA415111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA4394099OtherAETNA
LA1941409Medicaid
LA2270AOtherBLUE CROSS BLUE SHIELD
LA2270AOtherBLUE CROSS BLUE SHIELD
LA1941409Medicaid