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NPI Code Detail

MEDICARE: BRENNEN E BARNETT PA-C

MEDICARE:   BRENNEN E BARNETT  PA-C
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
1363A00000XPhysician Assistant50.005735RXOH

General Provider Information

NPI Number : 1679031041
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENNEN E BARNETT PA-C
Provider Business Mailing Address
First Line : 111 NEW HAMPSHIRE AVE STE 2
Second Line :
City : PORTSMOUTH
State : NH
Zip : 03801-2864
Country : US
Telephone Number : 802-909-2053
Fax Number :
Provider Business Practice Location Address
First Line : 8183 GOLDEN LINK BLVD
Second Line :
City : NORTHFIELD
State : OH
Zip : 44067-2015
Country : US
Telephone Number : 330-778-1278
Fax Number : 330-525-9009
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2019
Last Update Date : 01/31/2024

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Directions to “ BRENNEN E BARNETT PA-C” Practice Location

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