Provider Demographics
NPI:1013938737
Name:BARTON, JEFFREY C (DPM)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:C
Last Name:BARTON
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 BANNING ST
Mailing Address - Street 2:SUITE 360
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-3485
Mailing Address - Country:US
Mailing Address - Phone:302-735-9811
Mailing Address - Fax:302-735-9812
Practice Address - Street 1:200 BANNING ST
Practice Address - Street 2:SUITE 360
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-3485
Practice Address - Country:US
Practice Address - Phone:302-735-9811
Practice Address - Fax:302-735-9812
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2011-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEE10000125213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000802617Medicaid
DEG01693Medicare UPIN
DE4754580001Medicare NSC