Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0203X | Pediatric Critical Care Doctor | 35048773 | OH |
Y | 2080P0214X | Pediatric Pulmonologist | 35048773B | OH |
NPI | 1134102593 |
---|---|
Provider Name | Bruce A Barnett |
First Address | Toledo, OH 43606-3845 |
Second Address | Toledo, OH 43606-3845 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2005 |
Last Update Date | 21/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000219638 | UNISON (01) | OH |
000000520827 | ANTHEM (01) | OH |
00277 | PARAMOUNT (01) | OH |
0740783 | (05) | OH |
116024 | GLHP (01) | |
4262383 | AETNA (01) | OH |
5202241 | (05) | MI |
8812 | HEALTH PLAN OF MI (01) | |
H51381 | (02) |