Provider Demographics
NPI:1013066455
Name:JONES, BARBARA E (OTR)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:E
Last Name:JONES
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4788 S LICK CREEK RD
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:IN
Mailing Address - Zip Code:46160-9598
Mailing Address - Country:US
Mailing Address - Phone:812-597-5572
Mailing Address - Fax:
Practice Address - Street 1:4788 S LICK CREEK RD
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:IN
Practice Address - Zip Code:46160-9598
Practice Address - Country:US
Practice Address - Phone:812-597-5572
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31001576A174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist