Healthcare Provider Details

I. General information

NPI: 1275686180
Provider Name (Legal Business Name): BARKER ENTERPRISES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 S GOVERNORS AVE
DOVER DE
19904-6901
US

IV. Provider business mailing address

1015 S GOVERNORS AVE
DOVER DE
19904-6901
US

V. Phone/Fax

Practice location:
  • Phone: 302-730-4800
  • Fax: 302-730-8040
Mailing address:
  • Phone: 302-730-4800
  • Fax: 302-730-8040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1992102372
License Number StateDE

VIII. Authorized Official

Name: MRS. FRANCES A. BARKER
Title or Position: BUSINESS MANAGER
Credential:
Phone: 302-730-4800