Barham, Jody A

Barham, Jody A is an individual health care provider with primary practice located at 1205 E 35Th St , Texarkana AR 71854-2746. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Barham, Jody A can be contacted via phone (870) 216-0080.

Contact Information

Primary practice address
1205 E 35Th St Texarkana AR 71854-2746
Phone: (870) 216-0080
Fax: (870) 216-0096
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X A03610 Arkansas

Profile Details

NPI number 1992081491
LBN Legal business name Barham, Jody A
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2011
Last updated Jul 7th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992081491 NPPES
Arkansas Other A003610 LICENSE

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