Avis Lorraine Barker
Dentist Dentist - General Practice
50648 Weeping Willow Run E
Granger
, Indiana 46530-8750
Avis Lorraine Barker
Dentist Dentist - General Practice
50648 Weeping Willow Run E
Granger
, Indiana 46530-8750
(765) 532-7019
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About
Features
Specialties
- Dentist
- General Practice
Languages spoken
- English
Location
First Address
- Avis Lorraine Barker
- 50648 Weeping Willow Run E
- Granger, IN
- Zip : 46530-8750
- Phone : (765) 532-7019
Second Address
- Avis Lorraine Barker
- 50648 Weeping Willow Run E
- Granger, IN
- Zip : 46530-8750
- Phone : (765) 532-7019
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 122300000X | Dentist | 12011066A | IN |
| N | 1223G0001X | General Practice | 21957 | MA |
| N | 213EG0000X | General Practice | 21957 | MA |
National Provider Identifier
| NPI | 1003007352 |
|---|---|
| Provider Name | Avis Lorraine Barker |
| First Address | Granger, IN 46530-8750 |
| Second Address | Granger, IN 46530-8750 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/08/2007 |
| Last Update Date | 12/03/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.