Odaniel, Mark Barnard
Odaniel, Mark Barnard is an sole proprietor health care provider with primary practice located at 201 North Winstead Suite A, Rocky Mount NC 27804-2422. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Odaniel, Mark Barnard can be contacted via phone (252) 937-8222.Contact Information
Primary practice address
201 North Winstead Suite A
Rocky Mount NC 27804-2422
Phone: (252) 937-8222
Fax: (252) 937-6622
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 9700116 | North Carolina |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 9700116 | North Carolina |
Profile Details
| NPI number | 1164529640 |
|---|---|
| LBN Legal business name | Odaniel, Mark Barnard |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 19th, 2006 |
| Last updated | Jun 20th, 2011 - about 14 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 | 1164529640 | NPPES |
| North Carolina | MEDICAID | 5903560 | |
| North Carolina | MEDICAID | 5903546 | |
| North Carolina | Other | 135V6 | |
| North Carolina | MEDICAID | 89135V6 |
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