Provider Demographics
NPI:1821006198
Name:BARNETT, GEORGE GEIER (DC)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:GEIER
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 1:766 SHREWSBURY AVE.
Mailing Address - Street 2:W206
Mailing Address - City:TINTON FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07724
Mailing Address - Country:US
Mailing Address - Phone:732-530-0255
Mailing Address - Fax:732-530-0822
Practice Address - Street 1:766 SHREWSBURY AVE.
Practice Address - Street 2:W-206
Practice Address - City:TINTON FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07724
Practice Address - Country:US
Practice Address - Phone:732-530-0255
Practice Address - Fax:732-530-0822
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2019-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00349100111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ453363Medicare ID - Type Unspecified