Barnes, Mark Evert
Barnes, Mark Evert is an individual health care provider with primary practice located at 5080 N Fruit Ave Ste 103 , Fresno CA 93711-3062. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Barnes, Mark Evert can be contacted via phone (559) 978-3339.Contact Information
Primary practice address
5080 N Fruit Ave Ste 103
Fresno CA 93711-3062
Phone: (559) 978-3339
Fax: (559) 412-7207
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY14397 | California |
Profile Details
| NPI number | 1124172002 |
|---|---|
| LBN Legal business name | Barnes, Mark Evert |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1124172002 | NPPES |
| California | Other | 822126301 | TAX ID |
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