1114167004 NPI number — SHARON BARNES CORPORATION

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114167004 NPI number — SHARON BARNES CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SHARON BARNES CORPORATION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
THERAPIST FOR SENSITIVE AND GIFTED
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1114167004
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/28/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8089 S LINCOLN ST
Provider Second Line Business Mailing Address:
#203
Provider Business Mailing Address City Name:
LITTLETON
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80122-2700
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-987-0346
Provider Business Mailing Address Fax Number:
303-989-0099

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8089 S LINCOLN ST
Provider Second Line Business Practice Location Address:
#203
Provider Business Practice Location Address City Name:
LITTLETON
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80122-2700
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-987-0346
Provider Business Practice Location Address Fax Number:
303-989-0099
Provider Enumeration Date:
03/04/2009

Additional Information

Authorized Official

Authorized Official Last Name:
BARNES
Authorized Official First Name:
SHARON
Authorized Official Middle Name:
M
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
303-987-0346

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  991263 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com