Provider Demographics
NPI:1548258098
Name:BARR, ERIC ALLEN (DO)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:ALLEN
Last Name:BARR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 MEMORY LN
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-2231
Mailing Address - Country:US
Mailing Address - Phone:717-792-1811
Mailing Address - Fax:
Practice Address - Street 1:54 S FORREST ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17404-5550
Practice Address - Country:US
Practice Address - Phone:717-792-1811
Practice Address - Fax:717-792-3669
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS012651207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAI35919Medicare UPIN