Provider Demographics
NPI:1164603957
Name:BARNETT, NEAL ROBERT JR (RN)
Entity Type:Individual
Prefix:MR
First Name:NEAL
Middle Name:ROBERT
Last Name:BARNETT
Suffix:JR
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2119 VINCENT DR
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:OH
Mailing Address - Zip Code:44212-4164
Mailing Address - Country:US
Mailing Address - Phone:330-225-8060
Mailing Address - Fax:
Practice Address - Street 1:2119 VINCENT DR
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:OH
Practice Address - Zip Code:44212-4164
Practice Address - Country:US
Practice Address - Phone:330-225-8060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-20
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN234368163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse