Barry, Colleen Martha

Barry, Colleen Martha is an individual health care provider with primary practice located at 1200 E Michigan Ave Suite 145, Lansing MI 48912-1800. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Barry, Colleen Martha can be contacted via phone (517) 364-5440.

Contact Information

Primary practice address
1200 E Michigan Ave Suite 145 Lansing MI 48912-1800
Phone: (517) 364-5440
Fax: (517) 364-5466
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301047289 Michigan

Profile Details

NPI number 1104915784
LBN Legal business name Barry, Colleen Martha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Jul 8th, 2007 - about 19 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 1104915784 NPPES
Michigan Other 3503303631 BCBS INDIVIDUAL PIN
Michigan MEDICAID 4366393 BCBS INDIVIDUAL PIN

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