Provider Demographics
NPI:1134941545
Name:BARKHEIMER, BRANDI RENEE
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:RENEE
Last Name:BARKHEIMER
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 1:401 E 11TH STREET
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:OH
Mailing Address - Zip Code:44622
Mailing Address - Country:US
Mailing Address - Phone:330-407-5093
Mailing Address - Fax:
Practice Address - Street 1:348 S BODMER AVE
Practice Address - Street 2:APT 73
Practice Address - City:STRASBURG
Practice Address - State:OH
Practice Address - Zip Code:44680
Practice Address - Country:US
Practice Address - Phone:330-407-3900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-28
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant