Barnes, Leta J
Barnes, Leta J is an individual health care provider with primary practice located at 3443 S National Ave , Springfield MO 65807-7308. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Barnes, Leta J can be contacted via phone (417) 269-2000.Contact Information
Primary practice address
3443 S National Ave
Springfield MO 65807-7308
Phone: (417) 269-2000
Fax: (417) 269-2038
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 099455 | Missouri |
Profile Details
NPI number | 1356338933 |
---|---|
LBN Legal business name | Barnes, Leta J |
Credentials | Pediatric Nurse Practitioner (PNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 29th, 2005 |
Last updated | Jan 21st, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1356338933 | NPPES |
Missouri | MEDICAID | 423851211 | |
Missouri | Other | P00361136 | |
Missouri | MEDICAID | 1356338933 |
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