Healthcare Provider Details

I. General information

NPI: 1285891028
Provider Name (Legal Business Name): DEBBIE BARTON LPTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2008
Last Update Date: 05/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W CONSTANCE RD
SUFFOLK VA
23434-4413
US

IV. Provider business mailing address

3924 WHITE MARSH RD
SUFFOLK VA
23434-7833
US

V. Phone/Fax

Practice location:
  • Phone: 757-539-8744
  • Fax:
Mailing address:
  • Phone: 757-539-6378
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number2306000323
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: