Barker, Jared Dale
Barker, Jared Dale is an individual health care provider with primary practice located at 3445 Executive Center Dr. Ste 250, Austin TX 78731-1678. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Barker, Jared Dale can be contacted via phone (512) 579-4000.Contact Information
Primary practice address
3445 Executive Center Dr. Ste 250
Austin TX 78731-1678
Phone: (512) 579-4000
Fax: (512) 439-2814
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | DO.000442 | Louisiana |
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | E8492 | Arkansas |
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | BP10037259 | Texas |
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | Q4718 | Texas |
Profile Details
NPI number | 1104144211 |
---|---|
LBN Legal business name | Barker, Jared Dale |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 13th, 2010 |
Last updated | Oct 17th, 2022 - about 2 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 | 1104144211 | NPPES |
Louisiana | MEDICAID | 2396731 | |
Louisiana | Other | 13581400 |
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