Provider Demographics
NPI:1558601666
Name:BARNOSKY, GEORGE S (LAC)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:S
Last Name:BARNOSKY
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8535 PINE RUN CT
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-6934
Mailing Address - Country:US
Mailing Address - Phone:443-794-7552
Mailing Address - Fax:410-465-0593
Practice Address - Street 1:9170 ROUTE 108
Practice Address - Street 2:SUITE 202
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-1987
Practice Address - Country:US
Practice Address - Phone:443-794-7552
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-26
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU00918171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist