Barksdale, Edward M

Barksdale, Edward M is an individual health care provider with primary practice located at 11100 Euclid Avenue , Cleveland OH 44106. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is his primary health care specialty. Barksdale, Edward M can be contacted via phone (216) 844-7874.

Contact Information

Primary practice address
11100 Euclid Avenue Cleveland OH 44106
Phone: (216) 844-7874
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD053529L Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 35-090195 Ohio

Profile Details

NPI number 1871565762
LBN Legal business name Barksdale, Edward M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Jun 30th, 2011 - about 14 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 1871565762 NPPES
Ohio Other 000000225713 UNISON
Ohio Other 0986241 UNISON
Ohio MEDICAID 001943914 UNISON
Ohio Other 000000527692 UNISON
Ohio Other 414644 UNISON
Ohio MEDICAID 0986241 UNISON
Ohio MEDICAID 0014799000009 UNISON
Ohio Other 4510236 UNISON
Ohio Other 749092 UNISON

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