Barksdale, Jason Edward
Barksdale, Jason Edward is an sole proprietor health care provider with primary practice located at 2320 Bath St Ste 113 , Santa Barbara CA 93105-4377. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Barksdale, Jason Edward can be contacted via phone (805) 682-7984.Contact Information
Primary practice address
2320 Bath St Ste 113
Santa Barbara CA 93105-4377
Phone: (805) 682-7984
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A106983 | California |
Profile Details
NPI number | 1922365022 |
---|---|
LBN Legal business name | Barksdale, Jason Edward |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 13th, 2012 |
Last updated | Aug 6th, 2013 - about 12 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 | 1922365022 | NPPES |
California | MEDICAID | 1922365022 | |
California | Other | 00A1069830 |
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