Main, Bart Louis

Main, Bart Louis is an individual health care provider with primary practice located at 460 W Main St , Hyannis MA 02601-3653. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Main, Bart Louis can be contacted via phone (508) 862-5504.

Contact Information

Primary practice address
460 W Main St Hyannis MA 02601-3653
Phone: (508) 862-5504
Fax: (508) 790-3304
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 24451 Minnesota
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 238225 Massachusetts

Profile Details

NPI number 1689770604
LBN Legal business name Main, Bart Louis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Mar 23rd, 2017 - about 7 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 1689770604 NPPES
Minnesota MEDICAID 366305100

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