Barry, Eileen Dale

Barry, Eileen Dale is an sole proprietor health care provider with primary practice located at 45 Washington St , Conway NH 03818-6031. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Barry, Eileen Dale can be contacted via phone (603) 447-6339.

Contact Information

Primary practice address
45 Washington St Conway NH 03818-6031
Phone: (603) 447-6339
Fax: (603) 447-2250
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 045181-23-08 New Hampshire

Profile Details

NPI number 1558471094
LBN Legal business name Barry, Eileen Dale
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Nov 20th, 2012 - about 12 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 1558471094 NPPES
Maine Other 035272 BC/BS
Maine Other 202417 BC/BS
Maine MEDICAID 225470000 BC/BS
Maine MEDICAID 30340450 BC/BS
Maine Other 353653 BC/BS
Maine Other 4003298Y0NH01 BC/BS
Maine Other 355544 BC/BS

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