Provider Demographics
NPI:1538903968
Name:BARR, CAMERON ALLAN
Entity type:Individual
Prefix:
First Name:CAMERON
Middle Name:ALLAN
Last Name:BARR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 SYCAMORE DR
Mailing Address - Street 2:
Mailing Address - City:SEYMOUR
Mailing Address - State:IN
Mailing Address - Zip Code:47274-8660
Mailing Address - Country:US
Mailing Address - Phone:812-569-1041
Mailing Address - Fax:
Practice Address - Street 1:222 SYCAMORE DR
Practice Address - Street 2:
Practice Address - City:SEYMOUR
Practice Address - State:IN
Practice Address - Zip Code:47274-8660
Practice Address - Country:US
Practice Address - Phone:812-569-1041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-20
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program