Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MT212061 | PA |
N | 111NI0900X | Internist | MT212061 | PA |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 35.142417 | OH |
N | 2081S0010X | Sports Medicine | 35.142417 | OH |
N | 213ES0000X | Sports Medicine | 35.142417 | OH |
NPI | 1275984437 |
---|---|
Provider Name | Erin Stockwell Barnes |
First Address | Cleveland, OH 44109-1900 |
Second Address | Cleveland, OH 44109-1900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2016 |
Last Update Date | 23/09/2021 |