Provider Demographics
NPI:1629321559
Name:PARKER, BARBARA M
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:M
Last Name:PARKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5543 CR 75A
Mailing Address - Street 2:
Mailing Address - City:SAINT JOE
Mailing Address - State:IN
Mailing Address - Zip Code:46785-9750
Mailing Address - Country:US
Mailing Address - Phone:260-337-1228
Mailing Address - Fax:
Practice Address - Street 1:5543 CR 75A
Practice Address - Street 2:
Practice Address - City:SAINT JOE
Practice Address - State:IN
Practice Address - Zip Code:46785-9750
Practice Address - Country:US
Practice Address - Phone:260-337-1228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-16
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay