Barrett, Prudence Lynn
Barrett, Prudence Lynn is an individual health care provider with primary practice located at 2516 Niles Ave , Saint Joseph MI 49085-1937. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Barrett, Prudence Lynn can be contacted via phone (269) 983-6518.Contact Information
Primary practice address
2516 Niles Ave
Saint Joseph MI 49085-1937
Phone: (269) 983-6518
Fax: (269) 983-0955
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301044725 | Michigan |
Profile Details
| NPI number | 1962503326 |
|---|---|
| LBN Legal business name | Barrett, Prudence Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962503326 | NPPES |
| Michigan | MEDICAID | 1537773 |
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