Individual
MR. BARRY LEE HAUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4920 US HIGHWAY 52, RIPLEY, OH 45167-9793
(937) 392-4279
Mailing address
4920 US HIGHWAY 52, RIPLEY, OH 45167-9793
(937) 392-4279
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN170909
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157786
MEDICAID WAIVER
OH
Enumeration date
03/12/2007
Last updated
07/08/2007
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