Fousek, Barbara Anne

Fousek, Barbara Anne is an sole proprietor health care provider with primary practice located at 706 Green Valley Rd Suite 100, Greensboro NC 27408-7038. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fousek, Barbara Anne can be contacted via phone (336) 272-1972.

Contact Information

Primary practice address
706 Green Valley Rd Suite 100 Greensboro NC 27408-7038
Fax: (336) 510-9937
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C001156 North Carolina

Profile Details

NPI number 1568435485
LBN Legal business name Fousek, Barbara Anne
Credentials MSW, M.ED. LCSW,ACSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2006
Last updated Apr 18th, 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 1568435485 NPPES
North Dakota Other 26-0758808 PROVIDER TAX ID
North Dakota MEDICAID 6007916 PROVIDER TAX ID

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