Barnes, Larry

Barnes, Larry is an individual health care provider with primary practice located at 325 Western Blvd , Jacksonville NC 28546-6341. He recently has only one registered license in Emergency Medical Service Providers / Emergency Medical Technician, Basic, which is considered as his primary health care specialty. Barnes, Larry can be contacted via phone (910) 577-1555.

Contact Information

Primary practice address
325 Western Blvd Jacksonville NC 28546-6341
Fax: (910) 577-1841
Website:

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X 26184 North Carolina

Profile Details

NPI number 1801010293
LBN Legal business name Barnes, Larry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2007
Last updated Jul 8th, 2007 - about 17 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 1801010293 NPPES
North Carolina MEDICAID 8913111
North Carolina Other 13111

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