Healthcare Provider Details

I. General information

NPI: 1225070295
Provider Name (Legal Business Name): PATRICK DANIEL BARNETT D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 04/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

534 HOOPER RD
ENDWELL NY
13760-1982
US

IV. Provider business mailing address

PO BOX 8919
ENDWELL NY
13762-8919
US

V. Phone/Fax

Practice location:
  • Phone: 607-748-5291
  • Fax: 607-748-5294
Mailing address:
  • Phone: 607-748-5291
  • Fax: 607-748-5294

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2969
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: