Provider Demographics
NPI:1871839662
Name:SANDRA BARNETT DC, LLC
Entity Type:Organization
Organization Name:SANDRA BARNETT DC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/ BUSINESS OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-670-1815
Mailing Address - Street 1:7091 HIGHWAY 73
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN
Mailing Address - State:CO
Mailing Address - Zip Code:80439-6575
Mailing Address - Country:US
Mailing Address - Phone:303-670-1815
Mailing Address - Fax:303-670-8233
Practice Address - Street 1:7091 HIGHWAY 73
Practice Address - Street 2:
Practice Address - City:EVERGREEN
Practice Address - State:CO
Practice Address - Zip Code:80439-6575
Practice Address - Country:US
Practice Address - Phone:303-670-1815
Practice Address - Fax:303-670-8233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-25
Last Update Date:2012-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2536111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty