Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 124Q00000X | Dental Hygienist | DH012994L | PA |
N | 124Q00000X | Dental Hygienist | DHA001502 | PA |
Y | 124Q00000X | Dental Hygienist | PHDH001069 | PA |
NPI | 1003479932 |
---|---|
Provider Name | Christine Marie Barnhart |
First Address | Uniontown, PA 15401-8002 |
Second Address | Uniontown, PA 15401-8002 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2019 |
Last Update Date | 16/04/2019 |