Individual
MR. BARNEY LEE BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 INDIANA AVE., LAPORTE, IN 46350-5210
(574) 286-4823
(269) 926-4045
Mailing address
1800 INDIANA AVE., LAPORTE, IN 46350-6210
(574) 286-4823
(269) 926-4045
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
171WH0202X
IN
Other
Enumeration date
05/03/2007
Last updated
07/09/2007
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