Provider Demographics
NPI:1376281170
Name:BARGER, JED ALAN
Entity Type:Individual
Prefix:
First Name:JED
Middle Name:ALAN
Last Name:BARGER
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 1:4893 N US HIGHWAY 68
Mailing Address - Street 2:
Mailing Address - City:URBANA
Mailing Address - State:OH
Mailing Address - Zip Code:43078-8319
Mailing Address - Country:US
Mailing Address - Phone:937-508-5528
Mailing Address - Fax:
Practice Address - Street 1:4893 N US HIGHWAY 68
Practice Address - Street 2:
Practice Address - City:URBANA
Practice Address - State:OH
Practice Address - Zip Code:43078-8319
Practice Address - Country:US
Practice Address - Phone:937-508-5528
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-23
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide