Barrett, Mary Agnes

Barrett, Mary Agnes is an sole proprietor health care provider with primary practice located at 115 Oak Hollow Rd , Syracuse NY 13214-2343. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Barrett, Mary Agnes can be contacted via phone (315) 446-4692.

Contact Information

Primary practice address
115 Oak Hollow Rd Syracuse NY 13214-2343
Phone: (315) 446-4692
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 296049 New York

Profile Details

NPI number 1972660033
LBN Legal business name Barrett, Mary Agnes
Credentials REGISTERED NURSE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 1st, 2007
Last updated Jul 8th, 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 1972660033 NPPES
New York MEDICAID 02186134

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