Provider Demographics
NPI:1669889036
Name:BARNABAS, ERNEST
Entity type:Individual
Prefix:
First Name:ERNEST
Middle Name:
Last Name:BARNABAS
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 1:15490 CHELSEA
Mailing Address - Street 2:
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48239-3839
Mailing Address - Country:US
Mailing Address - Phone:313-550-3615
Mailing Address - Fax:313-952-2699
Practice Address - Street 1:24634 5 MILE RD
Practice Address - Street 2:
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48239-3631
Practice Address - Country:US
Practice Address - Phone:313-550-3615
Practice Address - Fax:313-952-2699
Is Sole Proprietor?:No
Enumeration Date:2014-07-17
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide