Charlene Gayle Barnhart
Individual provider Active NPI Home Modifications Contractor · St Mary of the Woods, IN
NPI 1366866840 · NPPES record last updated Feb 5, 2014
Key facts
- NPI
- 1366866840
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Modifications Contractor 171WH0202X
- License
- 3900 (IN)
- Practice address
- 3426 Wheeler Road
St Mary of the Woods, IN 47876-0188 - Phone
- (812) 535-4500
- Fax
- (812) 535-4500
- NPI assigned
- Feb 5, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3900 | IN | MD | Home Modifications Contractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | 3900 | IN | Yes |
Addresses
Primary practice location
3426 Wheeler Road
St Mary of the Woods, IN 47876-0188
Mailing address
Pob 188
3426 Wheeler Road
St Mary of the Woods, IN 47876-0188
Phone (812) 535-4500
Other providers in St Mary of the Woods, IN
- Hallie Leeann Chastain
- Indiana Emergency Physicians, LLP
- Theresa Mae Landis
- Kristin Larr
- Juliene Ann Pendleton
All providers in St Mary of the Woods, IN · Home Modifications Contractor in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.