Healthcare Provider Details
I. General information
NPI: 1952563199
Provider Name (Legal Business Name): BARNES HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/30/2008
Last Update Date: 07/15/2022
Certification Date: 07/15/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
24996 LEN ST
SEAFORD DE
19973-6766
US
IV. Provider business mailing address
24996 LEN ST
SEAFORD DE
19973-6766
US
V. Phone/Fax
- Phone: 302-228-6016
- Fax:
- Phone: 302-629-0392
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QX0100X |
| Taxonomy | Occupational Medicine Clinic/Center |
| License Number | LG-0000327 |
| License Number State | DE |
VIII. Authorized Official
Name: DR.
ANNETTE
HALL
BARNES
Title or Position: PRESIDENT
Credential: DNP, CRNP, FNP-BC
Phone: 302-228-6016