Barry, Robert L

Barry, Robert L is an individual health care provider with primary practice located at 1293 E Parkdale Ave Ste 2300-B , Manistee MI 49660. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Barry, Robert L can be contacted via phone (231) 398-1735.

Contact Information

Primary practice address
1293 E Parkdale Ave Ste 2300-B Manistee MI 49660
Fax: (231) 398-1736
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X RB056400 Michigan

Profile Details

NPI number 1235131855
LBN Legal business name Barry, Robert L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Oct 12th, 2020 - about 4 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 1235131855 NPPES
Michigan Other 612951200 DEPARTMENT OF LABOR
Michigan Other 700E110080 DEPARTMENT OF LABOR
Michigan Other P00452335 DEPARTMENT OF LABOR
Michigan MEDICAID 4914854 DEPARTMENT OF LABOR

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