Barker, Gerald A

Barker, Gerald A is an individual health care provider with primary practice located at 1515 Village Dr , Cottage Grove OR 97424-9700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Barker, Gerald A can be contacted via phone (541) 942-6614.

Contact Information

Primary practice address
1515 Village Dr Cottage Grove OR 97424-9700
Fax: (541) 942-0353
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD20868 Oregon

Profile Details

NPI number 1366411498
LBN Legal business name Barker, Gerald A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Nov 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366411498 NPPES
Oregon MEDICAID 130035

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