Barbara, Mark Joseph

Barbara, Mark Joseph is an individual health care provider with primary practice located at 200 Medical Village Dr , Edgewood KY 41017-3408. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Barbara, Mark Joseph can be contacted via phone (859) 301-5900.

Contact Information

Primary practice address
200 Medical Village Dr Edgewood KY 41017-3408
Fax: (859) 301-5940
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 35053462 Ohio
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 23911 Kentucky

Profile Details

NPI number 1104807197
LBN Legal business name Barbara, Mark Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Nov 27th, 2012 - about 12 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 1104807197 NPPES
Indiana MEDICAID 200939960
Indiana MEDICAID 0668086
Indiana MEDICAID 7100059720

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