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NPI Code Detail

MEDICARE: BARRY GILL

MEDICARE: BARRY GILL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.182947OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083264618
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARRY GILL
Provider Business Mailing Address
First Line : 420 SUPERIOR ST
Second Line :
City : SANDUSKY
State : OH
Zip : 44870-1849
Country : US
Telephone Number : 419-626-5623
Fax Number :
Provider Business Practice Location Address
First Line : 420 SUPERIOR ST
Second Line :
City : SANDUSKY
State : OH
Zip : 44870-1849
Country : US
Telephone Number : 419-626-5623
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2019
Last Update Date : 03/25/2026

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Directions to “ BARRY GILL ” Practice Location

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