Individual provider · NPI-1
Dustin Barno
Contractor · Philadelphia, PA
NPI number1891116711
StatusActive
Last updated in NPPESDec 29, 2020
Details
- NPI
- 1891116711
- Entity type
- Individual (NPI-1)
- Name
- Dustin Barno
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 18, 2013
- Certification date
- Dec 29, 2020
- Last updated
- Dec 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | – | – | Yes |
Practice location
530 S 2nd StApt. 528
Philadelphia, PA 19147-2420
Phone 267-702-3568
Mailing address
530 S 2nd StApt. 528
Philadelphia, PA 19147-2420
Phone 267-702-3568
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