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:
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Health care specialties

SpecialtyCodeLicense #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 11 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 1922365022 NPPES
California MEDICAID 1922365022
California Other 00A1069830

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