Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | E10000125 | DE |
Y | 222Z00000X | Podiatrist | E10000125 | DE |
NPI | 1013938737 |
---|---|
Provider Name | Jeffrey C Barton |
First Address | Dover, DE 19904-3485 |
Second Address | Dover, DE 19904-3485 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 25/07/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0000802617 | (05) | DE |
G01693 | (02) | DE |