Provider Demographics
NPI:1043322621
Name:BARRETT, BRIAN D (DC)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:D
Last Name:BARRETT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5930 HAMILTON BLVD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18106-9654
Mailing Address - Country:US
Mailing Address - Phone:610-841-2204
Mailing Address - Fax:610-841-2205
Practice Address - Street 1:5930 HAMILTON BLVD
Practice Address - Street 2:SUITE 8
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18106-9654
Practice Address - Country:US
Practice Address - Phone:610-841-2204
Practice Address - Fax:610-841-2205
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2009-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009714111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor