Whiteside, Barry Dwayne

Whiteside, Barry Dwayne is an individual health care provider with primary practice located at 126 Missouri Ave Mcxp-Ccs-Cr, Fort Leonard Wood MO 65473-8952. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Whiteside, Barry Dwayne can be contacted via phone (573) 596-0417.

Contact Information

Primary practice address
126 Missouri Ave Mcxp-Ccs-Cr Fort Leonard Wood MO 65473-8952
Phone: (573) 596-0417
Fax: (573) 596-0524
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2789 South Carolina

Profile Details

NPI number 1073556973
LBN Legal business name Whiteside, Barry Dwayne
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 8th, 2007 - about 17 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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