Barrett, John

Barrett, John is an individual health care provider with primary practice located at 1265 Boardman Canfield Rd , Boardman OH 44512-4004. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Barrett, John can be contacted via phone (330) 758-8808.

Contact Information

Primary practice address
1265 Boardman Canfield Rd Boardman OH 44512-4004
Phone: (330) 758-8808
Fax: (330) 758-4288
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC-00-4452 Pennsylvania
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 36-00 2403 Ohio

Profile Details

NPI number 1154328557
LBN Legal business name Barrett, John
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Feb 21st, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154328557 NPPES
Ohio MEDICAID 0664393
Ohio MEDICAID 2101013-000

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