Provider Demographics
NPI:1053532192
Name:BARNETT, SANDRA M (D C)
Entity type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:M
Last Name:BARNETT
Suffix:
Gender:F
Credentials:D C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7091 HIGHWAY 73
Mailing Address - Street 2:
Mailing Address - City:EVEGREEN
Mailing Address - State:CO
Mailing Address - Zip Code:80439
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:EVEGREEN
Practice Address - State:CO
Practice Address - Zip Code:80439
Practice Address - Country:US
Practice Address - Phone:303-670-1815
Practice Address - Fax:303-670-8233
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2536111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor