Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | OI00000331 | WA |
N | 222Z00000X | Podiatrist | OI00000331 | WA |
Y | 224P00000X | Prosthetist | PS00000322 | WA |
NPI | 1215128566 |
---|---|
Provider Name | Brett Barnts |
First Address | Olympia, WA 98506-5031 |
Second Address | Olympia, WA 98506-5031 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2007 |
Last Update Date | 29/06/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8371486 | (05) | WA |