Provider Demographics
NPI:1386823177
Name:BARRETT CHIROPRACTIC CENTER, INC.
Entity Type:Organization
Organization Name:BARRETT CHIROPRACTIC CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:BARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:270-527-7033
Mailing Address - Street 1:3002 US HIGHWAY 641 N
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:KY
Mailing Address - Zip Code:42025-7464
Mailing Address - Country:US
Mailing Address - Phone:270-527-7033
Mailing Address - Fax:270-527-6826
Practice Address - Street 1:3002 US HIGHWAY 641 N
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:KY
Practice Address - Zip Code:42025-7464
Practice Address - Country:US
Practice Address - Phone:270-527-7033
Practice Address - Fax:270-527-6826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-29
Last Update Date:2011-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4497111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY85001105Medicaid
KY7227Medicare UPIN
KY85001105Medicaid