Provider Demographics
NPI:1740588326
Name:BARTON, CHRISTIE DAWN
Entity Type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:DAWN
Last Name:BARTON
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:PO BOX 1664
Mailing Address - Street 2:402 NW LINCOLN
Mailing Address - City:IDABEL
Mailing Address - State:OK
Mailing Address - Zip Code:74745-1664
Mailing Address - Country:US
Mailing Address - Phone:580-212-6208
Mailing Address - Fax:580-286-5185
Practice Address - Street 1:402 NW LINCOLN RD
Practice Address - Street 2:
Practice Address - City:IDABEL
Practice Address - State:OK
Practice Address - Zip Code:74745-2425
Practice Address - Country:US
Practice Address - Phone:580-212-6208
Practice Address - Fax:580-286-5185
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-07
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator