Provider Demographics
NPI:1184282766
Name:ROBERT BARNETT D.C. LLC
Entity type:Organization
Organization Name:ROBERT BARNETT D.C. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:860-445-5000
Mailing Address - Street 1:495 GOLD STAR HWY STE 324
Mailing Address - Street 2:
Mailing Address - City:GROTON
Mailing Address - State:CT
Mailing Address - Zip Code:06340-6230
Mailing Address - Country:US
Mailing Address - Phone:860-445-5000
Mailing Address - Fax:860-415-0201
Practice Address - Street 1:495 GOLD STAR HWY STE 324
Practice Address - Street 2:
Practice Address - City:GROTON
Practice Address - State:CT
Practice Address - Zip Code:06340-6230
Practice Address - Country:US
Practice Address - Phone:860-445-5000
Practice Address - Fax:860-415-0201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-30
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty