Provider Demographics
NPI:1689738163
Name:BARRETT, WILLIAM EDWARD (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:EDWARD
Last Name:BARRETT
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 1:605 N WILLOW AVE
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-1747
Mailing Address - Country:US
Mailing Address - Phone:931-372-7797
Mailing Address - Fax:931-372-1820
Practice Address - Street 1:605 N WILLOW AVE
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-1747
Practice Address - Country:US
Practice Address - Phone:931-372-7797
Practice Address - Fax:931-372-1820
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC0000001450111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3125845OtherBLUE CROSS BLUE SHIELD OF
TN3125845OtherBLUE CROSS BLUE SHIELD OF
TNU57315Medicare UPIN