Barnes, Victor Russell

Barnes, Victor Russell is an sole proprietor health care provider with primary practice located at 472D Western Blvd , Jacksonville NC 28546-6824. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Barnes, Victor Russell can be contacted via phone (910) 238-4513.

Contact Information

Primary practice address
472D Western Blvd Jacksonville NC 28546-6824
Phone: (910) 238-4513
Fax: (910) 238-4745
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 9300022 North Carolina

Profile Details

NPI number 1568448041
LBN Legal business name Barnes, Victor Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2005
Last updated Jan 6th, 2014 - about 11 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 1568448041 NPPES
North Carolina MEDICAID 8913388
North Carolina Other 13388

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