Barr, Dale S

Barr, Dale S is an individual health care provider with primary practice located at 1086 Fairington Dr , Sidney OH 45365-8913. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Barr, Dale S can be contacted via phone (937) 492-9197.

Contact Information

Primary practice address
1086 Fairington Dr Sidney OH 45365-8913
Fax: (937) 492-1901
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3160 Ohio

Profile Details

NPI number 1912969361
LBN Legal business name Barr, Dale S
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Sep 27th, 2012 - about 14 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 1912969361 NPPES
Ohio MEDICAID 0304601

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