Provider Demographics
NPI:1689128894
Name:BARTON, TIMOTHY SCOTT JR
Entity Type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:SCOTT
Last Name:BARTON
Suffix:JR
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 1:3039 GOLF TER
Mailing Address - Street 2:APT 12
Mailing Address - City:DANVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:61832-1230
Mailing Address - Country:US
Mailing Address - Phone:217-369-0798
Mailing Address - Fax:
Practice Address - Street 1:3039 GOLF TER
Practice Address - Street 2:APT 12
Practice Address - City:DANVILLE
Practice Address - State:IL
Practice Address - Zip Code:61832-1230
Practice Address - Country:US
Practice Address - Phone:217-369-0798
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-05
Last Update Date:2016-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WH0202XOther Service ProvidersContractorHome Modifications