Ibarra, Mario Antonio

Ibarra, Mario Antonio is an individual health care provider with primary practice located at 113 Lielmanis Ave , Hurlburt Field FL 32544-5613. He recently has only one registered license in Other Service Providers / Independent Duty Medical Technicians, which is considered as his primary health care specialty. Ibarra, Mario Antonio can be contacted via phone (228) 233-7997.

Contact Information

Primary practice address
113 Lielmanis Ave Hurlburt Field FL 32544-5613
Phone: (228) 233-7997
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Medical Technicians 1710I1003X

Profile Details

NPI number 1427341494
LBN Legal business name Ibarra, Mario Antonio
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2011
Last updated Oct 26th, 2011 - about 15 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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