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
Fax: (512) 439-2814
Website:

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104144211 NPPES
Louisiana MEDICAID 2396731
Louisiana Other 13581400

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