MEDICARE: DR. SHEILA MARIE BARNETT RDH, DC

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	X009042	NY
2	124Q00000X	Dental Hygienist	018540	NY
3	111N00000X	Chiropractor	8576	AZ

General Provider Information

NPI Number	:	1598753402
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHEILA MARIE BARNETT RDH, DC

Provider Business Mailing Address
First Line	:	2775 MIRACLE MILE
Second Line	:
City	:	BULLHEAD CITY
State	:	AZ
Zip	:	86442-3718
Country	:	US
Telephone Number	:	928-758-4101
Fax Number	:

Provider Business Practice Location Address
First Line	:	2775 MIRACLE MILE STE 1
Second Line	:
City	:	BULLHEAD CITY
State	:	AZ
Zip	:	86442-3719
Country	:	US
Telephone Number	:	928-758-4101
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2005
Last Update Date	:	03/17/2021

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