Healthcare Provider Details

I. General information

NPI: 1811005051
Provider Name (Legal Business Name): BARTON EARL BROWER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2006
Last Update Date: 11/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

272 HOSPITAL ROAD ADENA HEALTH SYSTEMS
CHILLICOTHEE OH
45601
US

IV. Provider business mailing address

2753 DRY RUN RD
CHILLICOTHEE OH
45601-9443
US

V. Phone/Fax

Practice location:
  • Phone: 740-779-7795
  • Fax:
Mailing address:
  • Phone: 740-773-2444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberM3802
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: