Healthcare Provider Details

I. General information

NPI: 1760565154
Provider Name (Legal Business Name): MICHAEL S BARNETT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: MICHAEL S BARNETT MD LTD

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 07/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

814 W CENTER AVE SUITE G
VISALIA CA
93291-6046
US

IV. Provider business mailing address

24677 BURR DRIVE
LINDSAY CA
93247
US

V. Phone/Fax

Practice location:
  • Phone: 559-967-0855
  • Fax:
Mailing address:
  • Phone: 559-562-0222
  • Fax: 559-562-2105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberG35769
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: