Provider Demographics
NPI:1427532563
Name:BARRETT, ROBERT
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:BARRETT
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 1:1707 EYE ST STE 213
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-5208
Mailing Address - Country:US
Mailing Address - Phone:661-404-4041
Mailing Address - Fax:661-404-4017
Practice Address - Street 1:1707 EYE ST STE 213
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-5208
Practice Address - Country:US
Practice Address - Phone:661-404-4041
Practice Address - Fax:661-404-4017
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-24
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)