Provider Demographics
NPI:1558440826
Name:BARNET, DAVID F (IDC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:F
Last Name:BARNET
Suffix:
Gender:M
Credentials:IDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4309 CATALINA ST APT A
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-3622
Mailing Address - Country:US
Mailing Address - Phone:808-630-8869
Mailing Address - Fax:
Practice Address - Street 1:3D MARINES REGIMENTAL AID STATION
Practice Address - Street 2:
Practice Address - City:KANEOHE BAY
Practice Address - State:HI
Practice Address - Zip Code:96863-3005
Practice Address - Country:US
Practice Address - Phone:808-257-3419
Practice Address - Fax:808-257-1019
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman