1629378336 NPI number — GLOBAL TRADERS DIRECT

Table of content: DR. MARY F. BARNETTE MD (NPI 1679590152)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629378336 NPI number — GLOBAL TRADERS DIRECT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GLOBAL TRADERS DIRECT
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1629378336
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/27/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
15 LAKE FRONT DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LINTHICUM
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21090-1603
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-789-4800
Provider Business Mailing Address Fax Number:
410-789-4804

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
15 LAKE FRONT DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LINTHICUM
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21090-1603
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-789-4800
Provider Business Practice Location Address Fax Number:
410-789-4804
Provider Enumeration Date:
10/27/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
AGUBUZO
Authorized Official First Name:
EDGAR
Authorized Official Middle Name:
Authorized Official Title or Position:
SALES & SUPPORT
Authorized Official Telephone Number:
410-789-4800

Provider Taxonomy Codes

  • Taxonomy code: 333300000X , with the licence number:  107-1243 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)