Barnhouse, Mark Allen

Barnhouse, Mark Allen is an individual health care provider with primary practice located at 901 Eastern Ave Ne Bethany Christian Services, Grand Rapids MI 49501-0294. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Barnhouse, Mark Allen can be contacted via phone (616) 224-7569.

Contact Information

Primary practice address
901 Eastern Ave Ne Bethany Christian Services Grand Rapids MI 49501-0294
Phone: (616) 224-7569
Fax: (616) 224-7581
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301005098 Michigan

Profile Details

NPI number 1477841617
LBN Legal business name Barnhouse, Mark Allen
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2011
Last updated Jul 20th, 2011 - 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 1477841617 NPPES
Michigan Other 6301005098 STATE OF MICHIGAN - BOARD OF PSYCHOLOGY LICENSE

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