Provider Demographics
NPI:1588973226
Name:DR. ANN-MARIE BARTER DC, LLC
Entity type:Organization
Organization Name:DR. ANN-MARIE BARTER DC, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANN-MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-652-0900
Mailing Address - Street 1:1260 S HOVER ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-7911
Mailing Address - Country:US
Mailing Address - Phone:303-652-0900
Mailing Address - Fax:720-907-0362
Practice Address - Street 1:1260 S HOVER ST
Practice Address - Street 2:SUITE D
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-7911
Practice Address - Country:US
Practice Address - Phone:303-652-0900
Practice Address - Fax:720-907-0362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-29
Last Update Date:2012-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6471111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty