Provider Demographics
NPI:1780705103
Name:BARHITE, DWIGHT MELVIN
Entity type:Individual
Prefix:MR
First Name:DWIGHT
Middle Name:MELVIN
Last Name:BARHITE
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 1:530 K ST
Mailing Address - Street 2:P.O. BOX 697
Mailing Address - City:PENROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81240-9725
Mailing Address - Country:US
Mailing Address - Phone:719-372-3097
Mailing Address - Fax:
Practice Address - Street 1:530 K ST
Practice Address - Street 2:
Practice Address - City:PENROSE
Practice Address - State:CO
Practice Address - Zip Code:81240-9725
Practice Address - Country:US
Practice Address - Phone:719-372-3097
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RH0600XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyHistology