Barnett, Charles Dewayne

Barnett, Charles Dewayne is an sole proprietor health care provider with primary practice located at 1015 Lanton Rd , West Plains MO 65775-3854. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Barnett, Charles Dewayne can be contacted via phone (417) 256-2570.

Contact Information

Primary practice address
1015 Lanton Rd West Plains MO 65775-3854
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1205214616
LBN Legal business name Barnett, Charles Dewayne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2015
Last updated Dec 1st, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205214616 NPPES
Arkansas MEDICAID 160759724

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