MEDICARE: ROBERT E BARNETT MD LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician
2	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801107826
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT E BARNETT MD LLC

Provider Business Mailing Address
First Line	:	1105 RALSTON AVE
Second Line	:
City	:	DEFIANCE
State	:	OH
Zip	:	43512-1336
Country	:	US
Telephone Number	:	419-782-3111
Fax Number	:	419-782-3118

Provider Business Practice Location Address
First Line	:	1105 RALSTON AVE
Second Line	:
City	:	DEFIANCE
State	:	OH
Zip	:	43512-1336
Country	:	US
Telephone Number	:	419-782-3111
Fax Number	:	419-782-3118

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ROBERT E BARNETT
Credential	:	M.D.
Telephone Number	:	419-782-3111

Provider Enumeration Date	:	06/24/2010
Last Update Date	:	07/26/2011

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