Provider Demographics
NPI:1134261811
Name:BARNHILL, LARRY GENE (DC)
Entity type:Individual
Prefix:
First Name:LARRY
Middle Name:GENE
Last Name:BARNHILL
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 1:8015 HOLLAND CT
Mailing Address - Street 2:UNIT B
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80005-2289
Mailing Address - Country:US
Mailing Address - Phone:303-424-7500
Mailing Address - Fax:
Practice Address - Street 1:7878 WADSWORTH BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-2146
Practice Address - Country:US
Practice Address - Phone:303-424-7500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2012-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO02333111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCK8403Medicare ID - Type Unspecified