Deberry, Barbara Ann
Deberry, Barbara Ann is an sole proprietor health care provider with primary practice located at 9233 Ne 10Th St , Midwest City OK 73130-1317. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Deberry, Barbara Ann can be contacted via phone (405) 549-9061.Contact Information
Primary practice address
9233 Ne 10Th St
Midwest City OK 73130-1317
Phone: (405) 549-9061
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X |
Profile Details
| NPI number | 1114298577 |
|---|---|
| LBN Legal business name | Deberry, Barbara Ann |
| Credentials | BACHELOR |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2012 |
| Last updated | Jan 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114298577 | NPPES |
| Oklahoma | MEDICAID | 30200000X | |
| Oklahoma | MEDICAID | 302R00000X |
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