Barnes, Mark Holder

Barnes, Mark Holder is an sole proprietor health care provider with primary practice located at 1640 W Clinch Ave , Knoxville TN 37916-2524. 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 Holder can be contacted via phone (865) 637-5848.

Contact Information

Primary practice address
1640 W Clinch Ave Knoxville TN 37916-2524
Phone: (865) 637-5848
Fax: (865) 525-4026
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X P1669 Tennessee

Profile Details

NPI number 1538209747
LBN Legal business name Barnes, Mark Holder
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2007
Last updated Jul 8th, 2007 - about 19 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 1538209747 NPPES
Tennessee Other 0151170 BC-BS OF TN PROVIDER

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