Barclay-White, Jason M
Barclay-White, Jason M is an individual health care provider with primary practice located at 2323 W Rose Garden Ln , Phoenix AZ 85027-2530. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Barclay-White, Jason M can be contacted via phone (602) 521-6200.Contact Information
Primary practice address
2323 W Rose Garden Ln
Phoenix AZ 85027-2530
Phone: (602) 521-6200
Fax: (623) 842-5640
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 30450 | Arizona |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 30450 | Arizona |
Profile Details
NPI number | 1669440574 |
---|---|
LBN Legal business name | Barclay-White, Jason M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 8th, 2006 |
Last updated | Sep 24th, 2021 - about 3 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 | 1669440574 | NPPES |
Arizona | Other | 1Z7135 | HEALTH NET OF AZ |
Arizona | Other | AZ0722000 | HEALTH NET OF AZ |
Arizona | MEDICAID | 707317 | HEALTH NET OF AZ |
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