Organization Name: | EDWARD N. BARR |
NPI Number: | 1487713632 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSAN B BARR (OFFICE MANAGER) |
Mailing Address: | 1028 E Lincolnway Minerva |
State: | OH US |
Postal Code: | 446571216 |
Phone Number: | 3308686044 |
Fax Number: | 3308686847 |
NPI Enumeration Date: | 12/06/2006 |
NPI Last Update Date: | 07/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |