Basic Information
Provider Information
NPI: 1245270867
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARBER
FirstName: CAROL
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2251 N SHORE DR
Address2:  
City: RHINELANDER
State: WI
PostalCode: 545016710
CountryCode: US
TelephoneNumber: 7153614700
FaxNumber:  
Practice Location
Address1: 1020 KABEL AVE
Address2:  
City: RHINELANDER
State: WI
PostalCode: 545013918
CountryCode: US
TelephoneNumber: 7153614700
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/08/2006
LastUpdateDate: 12/15/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/15/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800X32551-020WIY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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