Provider Demographics
NPI:1417007964
Name:STEVEN BARNETT, MD FAMILY PRACTICE
Entity Type:Organization
Organization Name:STEVEN BARNETT, MD FAMILY PRACTICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:812-922-5568
Mailing Address - Street 1:PO BOX 40
Mailing Address - Street 2:
Mailing Address - City:LYNNVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47619-0040
Mailing Address - Country:US
Mailing Address - Phone:812-922-5568
Mailing Address - Fax:812-922-5560
Practice Address - Street 1:12067 SPURGEON RD
Practice Address - Street 2:
Practice Address - City:LYNNVILLE
Practice Address - State:IN
Practice Address - Zip Code:47619-8015
Practice Address - Country:US
Practice Address - Phone:812-922-5568
Practice Address - Fax:812-922-5560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01037697207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty