Provider Demographics
NPI:1457104838
Name:BARTON, JEREMY KEITH (PA-S)
Entity Type:Individual
Prefix:
First Name:JEREMY
Middle Name:KEITH
Last Name:BARTON
Suffix:
Gender:M
Credentials:PA-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 GRAPPONE DR
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-7416
Mailing Address - Country:US
Mailing Address - Phone:603-998-3527
Mailing Address - Fax:
Practice Address - Street 1:9 GRAPPONE DR
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-7416
Practice Address - Country:US
Practice Address - Phone:603-998-3527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program