Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 2016-00549 | NC |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | MD170496 | OR |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | MD170496 | OR |
NPI | 1033436423 |
---|---|
Provider Name | Dane Michael Barrett |
First Address | Charlotte, NC 28263-3362 |
Second Address | Durham, NC 27704-2102 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2010 |
Last Update Date | 02/12/2016 |