Provider Demographics
NPI:1245467968
Name:BARNETT CHIROPRACTIC WELLNESS CENTER
Entity type:Organization
Organization Name:BARNETT CHIROPRACTIC WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:CALEB
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:575-309-7789
Mailing Address - Street 1:205 INNSDALE TER
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:NM
Mailing Address - Zip Code:88101-3061
Mailing Address - Country:US
Mailing Address - Phone:575-769-1700
Mailing Address - Fax:575-935-2345
Practice Address - Street 1:205 INNSDALE TER
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:NM
Practice Address - Zip Code:88101-3061
Practice Address - Country:US
Practice Address - Phone:575-769-1700
Practice Address - Fax:575-935-2345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-20
Last Update Date:2014-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty