Barraca, Claben Rey M

Barraca, Claben Rey M is an individual health care provider with primary practice located at 1033 Edgefield St , Greenwood SC 29646-3205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Barraca, Claben Rey M can be contacted via phone (864) 227-3908.

Contact Information

Primary practice address
1033 Edgefield St Greenwood SC 29646-3205
Phone: (864) 227-3908
Fax: (864) 227-2668
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 20-26987 South Carolina
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 26987 South Carolina

Profile Details

NPI number 1386674620
LBN Legal business name Barraca, Claben Rey M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Mar 17th, 2018 - about 8 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 1386674620 NPPES
South Carolina MEDICAID 269872

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