Provider Demographics
NPI:1871510412
Name:FRESHLEY, BARBARA D (MD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:D
Last Name:FRESHLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:D
Other - Last Name:GUARNIERI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1620 S UNION AVE
Mailing Address - Street 2:
Mailing Address - City:ALLIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:44601-4349
Mailing Address - Country:US
Mailing Address - Phone:330-913-7078
Mailing Address - Fax:844-270-5370
Practice Address - Street 1:1620 S UNION AVE
Practice Address - Street 2:
Practice Address - City:ALLIANCE
Practice Address - State:OH
Practice Address - Zip Code:44601-4349
Practice Address - Country:US
Practice Address - Phone:330-913-7078
Practice Address - Fax:844-270-5370
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2015-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35056853207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0887358Medicaid
OH0779591Medicaid
OHE54217Medicare UPIN
OH0887358Medicaid