Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0120X | Pediatric Surgery | 01067306A | IN |
N | 2086S0120X | Pediatric Surgery | 2020012131 | MO |
N | 2086S0120X | Pediatric Surgery | 35.093326 | OH |
N | 2086S0120X | Pediatric Surgery | 41986 | IA |
N | 2086S0120X | Pediatric Surgery | 42783 | KY |
N | 2086S0120X | Pediatric Surgery | 45654 | MN |
N | 2086S0120X | Pediatric Surgery | 7937 | AK |
Y | 2086S0120X | Pediatric Surgery | MD23637 | ME |
NPI | 1316143563 |
---|---|
Provider Name | Dr. Sean Barnett |
First Address | Brewer, ME 04412-1006 |
Second Address | Bangor, ME 04401-6616 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2007 |
Last Update Date | 28/05/2020 |