DR. DENNIS LEROY BARNETT, M.D. - NPI NUMBER 1194097931

Summary

Provider Name: DR. DENNIS LEROY BARNETT, M.D.

NPI Number: 1194097931

Clasification: Student in an Organized Health Care Education/Training Program (390200000X)

Address:
9040 FITZSIMMONS DR
JOINT BASE LEWIS MCCHORD, WA
ZIP 98431

Phone Number: (253) 968-0208



Detailed Information

DR. Dennis Leroy Barnett, M.D. is a student in an organized health care education/training program in Joint Base Lewis Mcchord, WA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. The assigned NPI number for this provider is 1194097931 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business address is:

9040 FITZSIMMONS DR
JOINT BASE LEWIS MCCHORD, WA
ZIP 98431-000
Phone: (253) 968-0208

The enumeration date for this NPI number is 2/8/2012 and was last updated on 12/10/2013.

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 390200000X Student in an Organized Health Care Education/Training Program 27623 NE Yes

NPI Record

No. Field Name Field Value
1 NPI 1194097931
2 Entity Type Code 1
3 Provider Last Name Legal Name BARNETT
4 Provider First Name DENNIS
5 Provider Middle Name LEROY
6 Provider Name Prefix Text DR.
7 Provider Name Suffix Text II
8 Provider Credential Text M.D.
9 Provider First Line Business Practice Location Address 9040 FITZSIMMONS DR
10 Provider Business Practice Location Address City Name JOINT BASE LEWIS MCCHORD
11 Provider Business Practice Location Address State Name WA
12 Provider Business Practice Location Address Postal Code 984311000
13 Provider Business Practice Location Address Country Code If outside U S US
14 Provider Business Practice Location Address Telephone Number 2539680208
15 Provider Enumeration Date 2/8/2012
16 Last Update Date 12/10/2013
17 Provider Gender Code M
18 Healthcare Provider Taxonomy Code 1 390200000X
19 Provider License Number 1 27623
20 Provider License Number State Code 1 NE
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Is Sole Proprietor N

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This page was last updated on: 7/15/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.