Provider Demographics
NPI:1033759568
Name:BARKINS, WAYNE GABRIEL
Entity Type:Individual
Prefix:MR
First Name:WAYNE
Middle Name:GABRIEL
Last Name:BARKINS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 PINE HARBOR CT
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-6741
Mailing Address - Country:US
Mailing Address - Phone:434-390-0186
Mailing Address - Fax:800-651-8252
Practice Address - Street 1:25892 N JAMES MADISON HWY
Practice Address - Street 2:
Practice Address - City:NEW CANTON
Practice Address - State:VA
Practice Address - Zip Code:23123-2234
Practice Address - Country:US
Practice Address - Phone:434-390-0186
Practice Address - Fax:434-390-0186
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-13
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1900650343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)