Barnett Chiropractic Wellness Center
Organization Active NPI Chiropractor · Clovis, NM
NPI 1245467968 · NPPES record last updated Jun 13, 2014
Key facts
- NPI
- 1245467968
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- BARNETT CHIROPRACTIC WELLNESS CENTER
- Practice address
- 205 Innsdale Ter
Clovis, NM 88101-3061 - Phone
- (575) 769-1700
- Fax
- (575) 935-2345
- NPI assigned
- Jun 20, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Caleb Barnett, D.C.
- Title
- Managing Member
- Phone
- (575) 309-7789
Practitioners 1
-
Caleb Barnett, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090814000508 | NM | Part B Supplier - Clinic/Group Practice | 4587718218 |
Receives reassigned benefits from 1 practitioner Practice locations: Clovis, NM |
National Provider Directory
Locations
205 Innsdale Ter
Clovis, NM 88101
Phone (575) 769-1700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
205 Innsdale Ter
Clovis, NM 88101-3061
Mailing address
205 Innsdale Ter
Clovis, NM 88101-3061
Phone (575) 769-1700
Other providers in Clovis, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.