Individual
MR. PETER CHARLES BARNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1230 ANTHONY LN, MASON, OH 45040-1139
(513) 502-0425
(513) 729-6552
Mailing address
7183 SCARLET OAK CT, MASON, OH 45040-7304
(513) 502-0425
(513) 729-6552
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
8305277
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0498311
—
OH
01
—
8305277
DODD CONTRACT NUMBER
OH
Enumeration date
10/07/2022
Last updated
10/07/2022
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