Provider Demographics
NPI:1225070295
Name:BARNETT, PATRICK DANIEL (DC)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:DANIEL
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:PO BOX 8919
Mailing Address - Street 2:
Mailing Address - City:ENDWELL
Mailing Address - State:NY
Mailing Address - Zip Code:13762-8919
Mailing Address - Country:US
Mailing Address - Phone:607-748-5291
Mailing Address - Fax:607-748-5294
Practice Address - Street 1:534 HOOPER RD
Practice Address - Street 2:
Practice Address - City:ENDWELL
Practice Address - State:NY
Practice Address - Zip Code:13760-1982
Practice Address - Country:US
Practice Address - Phone:607-748-5291
Practice Address - Fax:607-748-5294
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2009-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2969111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7602240OtherAETNA
NC89085EEMedicaid
NC085EEOtherBCBS
NC45726OtherPARTNERS
NC659800OtherACN
NC659800OtherACN