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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Popular Providers