Provider Demographics
NPI:1467534156
Name:BARRETT, PAUL (CH)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:BARRETT
Suffix:
Gender:M
Credentials:CH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2027 FLAGLER AVE
Mailing Address - Street 2:ROOM 4
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-3732
Mailing Address - Country:US
Mailing Address - Phone:305-872-4166
Mailing Address - Fax:305-296-1704
Practice Address - Street 1:2027 FLAGLER AVE
Practice Address - Street 2:ROOM 4
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-3732
Practice Address - Country:US
Practice Address - Phone:305-872-4166
Practice Address - Fax:305-296-1704
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 6115111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLT88189Medicare UPIN
FL55565Medicare ID - Type Unspecified