Barnes, Thea A

Barnes, Thea A is an sole proprietor health care provider with primary practice located at 935 Mcallister St , Greenville MS 38701-5808. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Barnes, Thea A can be contacted via phone (662) 378-3423.

Contact Information

Primary practice address
935 Mcallister St Greenville MS 38701-5808
Phone: (662) 378-3423
Fax: (662) 378-3423
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X P279862 Mississippi

Profile Details

NPI number 1336321058
LBN Legal business name Barnes, Thea A
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2007
Last updated Dec 4th, 2007 - about 17 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 1336321058 NPPES
Mississippi MEDICAID 770324015

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