Provider Demographics
NPI:1275856528
Name:BARTER, ANN-MARIE (DC)
Entity Type:Individual
Prefix:
First Name:ANN-MARIE
Middle Name:
Last Name:BARTER
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 1:1260 S HOVER ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-7911
Mailing Address - Country:US
Mailing Address - Phone:303-652-0900
Mailing Address - Fax:720-907-0362
Practice Address - Street 1:1260 SOUTH HOVER RD
Practice Address - Street 2:SUITE D
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501
Practice Address - Country:US
Practice Address - Phone:303-652-0900
Practice Address - Fax:720-907-0362
Is Sole Proprietor?:No
Enumeration Date:2010-03-01
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6471111N00000X
OR6471111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor