Barney, Mary Bernadette

Barney, Mary Bernadette is an sole proprietor health care provider with primary practice located at N2150 Kesaehkahtek , Gresham WI 54128. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Barney, Mary Bernadette can be contacted via phone (715) 799-3835.

Contact Information

Primary practice address
N2150 Kesaehkahtek Gresham WI 54128
Phone: (715) 799-3835
Fax: (715) 799-3836
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1715 Wisconsin

Profile Details

NPI number 1447425145
LBN Legal business name Barney, Mary Bernadette
Credentials CSAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2008
Last updated Apr 24th, 2008 - about 18 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 1447425145 NPPES
Wisconsin MEDICAID 39367500

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