Barrett, Mark Thomas

Barrett, Mark Thomas is an individual health care provider with primary practice located at 3850 S National Ave Suite 300, Springfield MO 65807-5287. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Barrett, Mark Thomas can be contacted via phone (417) 269-6170.

Contact Information

Primary practice address
3850 S National Ave Suite 300 Springfield MO 65807-5287
Phone: (417) 269-6170
Fax: (417) 269-6992
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2008016692 Missouri
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2012025579 Missouri

Profile Details

NPI number 1447415203
LBN Legal business name Barrett, Mark Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2008
Last updated Aug 19th, 2022 - about 2 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 1447415203 NPPES
Missouri MEDICAID 200006748

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