Healthcare Provider Details

I. General information

NPI: 1518281492
Provider Name (Legal Business Name): SARAH BARRETT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2010
Last Update Date: 03/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 HAMILTON AVE
COLUMBUS OH
43211-1354
US

IV. Provider business mailing address

2525 HAMILTON AVE
COLUMBUS OH
43211-1354
US

V. Phone/Fax

Practice location:
  • Phone: 614-364-4012
  • Fax:
Mailing address:
  • Phone: 614-364-4012
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License NumberRN885725
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: