Barnes, Mary Lois

Barnes, Mary Lois is an individual health care provider with primary practice located at 115 Wyoming St , Lander WY 82520-3919. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Barnes, Mary Lois can be contacted via phone (307) 332-2185.

Contact Information

Primary practice address
115 Wyoming St Lander WY 82520-3919
Fax: (307) 322-7799
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 5773A Wyoming

Profile Details

NPI number 1679674246
LBN Legal business name Barnes, Mary Lois
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Jan 3rd, 2012 - about 13 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 1679674246 NPPES
Utah MEDICAID 504824210005
Utah MEDICAID 111667300
Utah Other 295833
Utah Other 303923

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