Barco, Martin Thomas

Barco, Martin Thomas is an individual health care provider with primary practice located at 615 N Walnut St , Bloomington IN 47404-3811. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Barco, Martin Thomas can be contacted via phone (812) 332-8290.

Contact Information

Primary practice address
615 N Walnut St Bloomington IN 47404-3811
Phone: (812) 332-8290
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 120011246A Indiana

Profile Details

NPI number 1487843801
LBN Legal business name Barco, Martin Thomas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2007
Last updated Feb 27th, 2018 - about 7 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 1487843801 NPPES
Indiana MEDICAID 200978410

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