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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114298577 NPPES
Oklahoma MEDICAID 30200000X
Oklahoma MEDICAID 302R00000X

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