Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 32095 | IA |
N | 207WX0107X | Retina Specialist | 32095 | IA |
NPI | 1033101860 |
---|---|
Provider Name | Charles H Barnes |
First Address | Marshalltown, IA 50158-2946 |
Second Address | Hiawatha, IA 52233-2214 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2005 |
Last Update Date | 16/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
180030210 | RAILROAD MEDICARE (01) | IA |
2157974 | (05) | IA |
F26543 | (02) | IA |