Barksdale, Collis L
Barksdale, Collis L is an individual health care provider with primary practice located at 290 Enterprise Dr , Easley SC 29642-8280. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Barksdale, Collis L can be contacted via phone (864) 365-0290.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20594 | South Carolina |
Profile Details
NPI number | 1316999709 |
---|---|
LBN Legal business name | Barksdale, Collis L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 16th, 2006 |
Last updated | Jan 21st, 2015 - about 10 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 | 1316999709 | NPPES |
South Carolina | MEDICAID | 205940 |
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