Provider Demographics
NPI:1164687075
Name:BARNES, PIERRE TULLOCH III (DC)
Entity Type:Individual
Prefix:DR
First Name:PIERRE
Middle Name:TULLOCH
Last Name:BARNES
Suffix:III
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 1:738 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93001-2906
Mailing Address - Country:US
Mailing Address - Phone:805-653-1326
Mailing Address - Fax:805-653-0897
Practice Address - Street 1:738 E MAIN ST
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93001-2906
Practice Address - Country:US
Practice Address - Phone:805-653-1326
Practice Address - Fax:805-653-0897
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-21
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28033111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor