Barham, Brooks
Barham, Brooks is an individual health care provider with primary practice located at 1030 River Oaks Dr , Jackson MS 39232-9553. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Barham, Brooks can be contacted via phone (601) 936-0494.Contact Information
Primary practice address
1030 River Oaks Dr
Jackson MS 39232-9553
Phone: (601) 936-0494
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 17522 | Mississippi |
Profile Details
| NPI number | 1336155399 |
|---|---|
| LBN Legal business name | Barham, Brooks |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Apr 14th, 2009 - about 15 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 | 1336155399 | NPPES |
| Mississippi | MEDICAID | 08423212 |
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