De La Barrera, Mario Enrique

De La Barrera, Mario Enrique is an individual health care provider with primary practice located at 4881 Sugar Maple Dr , Wright Patterson Afb OH 45433-5529. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. De La Barrera, Mario Enrique can be contacted via phone (937) 713-1237.

Contact Information

Primary practice address
4881 Sugar Maple Dr Wright Patterson Afb OH 45433-5529
Phone: (937) 713-1237
Fax: (937) 656-3700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1508244146
LBN Legal business name De La Barrera, Mario Enrique
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2015
Last updated Mar 15th, 2023 - about last year

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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