Healthcare Provider Details

I. General information

NPI: 1326020751
Provider Name (Legal Business Name): DANIEL W BARRETT DC
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/21/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 E BARSTOW AVE STE 110
FRESNO CA
93710
US

IV. Provider business mailing address

125 E BARSTOW AVE STE 110
FRESNO CA
93710
US

V. Phone/Fax

Practice location:
  • Phone: 559-228-8401
  • Fax:
Mailing address:
  • Phone: 559-228-8401
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC13447
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: