Provider Demographics
NPI:1255946877
Name:ERB, BARRETT
Entity type:Individual
Prefix:
First Name:BARRETT
Middle Name:
Last Name:ERB
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4251 WILLIAMSTOWN PIKE APT 111
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26187-8344
Mailing Address - Country:US
Mailing Address - Phone:304-494-8099
Mailing Address - Fax:
Practice Address - Street 1:4251 WILLIAMSTOWN PIKE APT 111
Practice Address - Street 2:
Practice Address - City:WILLIAMSTOWN
Practice Address - State:WV
Practice Address - Zip Code:26187-8344
Practice Address - Country:US
Practice Address - Phone:304-494-8099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-10
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant