Doctor Name: | MRS. SHELLEY MARIE BARNEY |
NPI Number: | 1285791467 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C,MPAS |
License Number: | 50.001597 |
Business Practice Address: | 450 Washington Jackson Rd # B Suite 103 Eaton, OH - 453208699 |
Business Phone Number: | 9374568334 |
Business Fax Number: | 9374568335 |
Mailing Address: | 321 Kayler Rd, EATON |
State: | OH |
Postal Code: | 453209267 |
Phone Number: | 9374562770 |
Fax Number: | |
NPI Enumeration Date: | 01/03/2007 |
NPI Last Update Date: | 08/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 50.001597 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |