Barb, Hermione Raine

Barb, Hermione Raine is an individual health care provider with primary practice located at 940 N Center Ave , Gaylord MI 49735-9318. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Barb, Hermione Raine can be contacted via phone (989) 334-5533.

Contact Information

Primary practice address
940 N Center Ave Gaylord MI 49735-9318
Phone: (989) 334-5533
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1790431344
LBN Legal business name Barb, Hermione Raine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2022
Last updated Feb 22nd, 2022 - about 3 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 1790431344 NPPES
Michigan MEDICAID 14720170

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