Mennen, Barnett G
Mennen, Barnett G is an sole proprietor health care provider with primary practice located at 1880 Howard Ave Suite 300, Vienna VA 22182-2667. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mennen, Barnett G can be contacted via phone (703) 790-0103.Contact Information
Primary practice address
1880 Howard Ave Suite 300
Vienna VA 22182-2667
Phone: (703) 790-0103
Fax: (790) 703-0379
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | D0072173 | Maryland |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | D0072173 | Maryland |
Profile Details
| NPI number | 1184848004 |
|---|---|
| LBN Legal business name | Mennen, Barnett G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Apr 2nd, 2015 - about 9 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 | 1184848004 | NPPES |
| Maryland | Other | D0072173 | STATE LICENSE |
| Maryland | Other | 0101248289 | STATE LICENSE |
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