Provider Demographics
NPI:1962838342
Name:BARNHOUSE, SHAUN MICHAL (AT)
Entity Type:Individual
Prefix:MR
First Name:SHAUN
Middle Name:MICHAL
Last Name:BARNHOUSE
Suffix:
Gender:M
Credentials:AT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6566 STRATHCONA AVE
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-1630
Mailing Address - Country:US
Mailing Address - Phone:740-252-2193
Mailing Address - Fax:
Practice Address - Street 1:535 IRVING SCHOTTENSTEIN DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-1044
Practice Address - Country:US
Practice Address - Phone:614-292-1164
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-18
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAT 0038772255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer