Barnes, Mario Deshaun

Barnes, Mario Deshaun is an sole proprietor health care provider with primary practice located at 1 Franklin St , Hampton VA 23669-3568. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Barnes, Mario Deshaun can be contacted via phone (757) 240-7035.

Contact Information

Primary practice address
1 Franklin St Hampton VA 23669-3568
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X

Profile Details

NPI number 1548725203
LBN Legal business name Barnes, Mario Deshaun
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2019
Last updated Feb 7th, 2019 - about 5 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 1548725203 NPPES
Virginia MEDICAID T28-42-8330

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