Healthcare Provider Details

I. General information

NPI: 1568231579
Provider Name (Legal Business Name): DANIELLE BARFIELD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2024
Last Update Date: 01/02/2024
Certification Date: 01/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 LINCOLNWAY
VALPARAISO IN
46383-5609
US

IV. Provider business mailing address

308 LINCOLNWAY
VALPARAISO IN
46383-5609
US

V. Phone/Fax

Practice location:
  • Phone: 219-510-1111
  • Fax: 219-510-1112
Mailing address:
  • Phone: 219-510-1111
  • Fax: 219-510-1112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number84000248A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: