Mackinaw-Koons, Barbara

Mackinaw-Koons, Barbara is an individual health care provider with primary practice located at 187 W Schrock Rd , Westerville OH 43081-2890. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mackinaw-Koons, Barbara can be contacted via phone (614) 722-4700.

Contact Information

Primary practice address
187 W Schrock Rd Westerville OH 43081-2890
Phone: (614) 722-4700
Fax: (614) 722-4718
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 5948 Ohio
Behavioral Health & Social Service Providers / Clinical 103TC0700X P.5948 Ohio

Profile Details

NPI number 1629106802
LBN Legal business name Mackinaw-Koons, Barbara
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Jan 31st, 2024 - about 11 months 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 1629106802 NPPES
Ohio MEDICAID 0139541

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