Individual
MR. JAMES M BARTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1701 S CREASY LN, LAFAYETTE, IN 47905-4972
(765) 502-4917
(765) 502-4023
Mailing address
PO BOX 78838, DETROIT, MI 48278-0838
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28198251A
IN
367500000X
Certified Registered Nurse Anesthetist
55097
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000731643
ANTHEM PROVIDER NUMBER
IN
05
—
100430490A
—
KS
05
—
201034820
—
IN
Enumeration date
08/16/2005
Last updated
10/20/2023
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