MEDICARE: BARRETT CHIROPRACTIC, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	23626	CA

General Provider Information

NPI Number	:	1376678193
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARRETT CHIROPRACTIC, INC

Provider Business Mailing Address
First Line	:	5330 MADISON AVE STE B
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95841-3150
Country	:	US
Telephone Number	:	916-334-6565
Fax Number	:

Provider Business Practice Location Address
First Line	:	5330 MADISON AVE STE B
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95841-3150
Country	:	US
Telephone Number	:	916-334-6262
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KEN BARRETT
Credential	:
Telephone Number	:	916-334-6262

Provider Enumeration Date	:	02/22/2007
Last Update Date	:	08/22/2020

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