Barker, Eran Jax
Barker, Eran Jax is an individual health care provider with primary practice located at 484 Main St , Diamond Springs CA 95619-9100. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Barker, Eran Jax can be contacted via phone (916) 502-6239.Contact Information
Primary practice address
484 Main St
Diamond Springs CA 95619-9100
Phone: (916) 502-6239
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1255760617 | California |
Profile Details
NPI number | 1790276731 |
---|---|
LBN Legal business name | Barker, Eran Jax |
Credentials | SUDRC 12517 |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 25th, 2018 |
Last updated | Jun 17th, 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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