Individual
DR. LARRY W BARNETT
Active
Individual
DR. LARRY W BARNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., C.C.S.P.
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
000360
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050000360CT01
ANTHEM BLUE CROSS
CT
01
—
111817001
MEDICARE SUPPLIER #
CT
Enumeration date
09/07/2005
Last updated
03/02/2017
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