Barnes, Jerod Adam
Barnes, Jerod Adam is an individual health care provider with primary practice located at 11600 W 2Nd Pl , Lakewood CO 80228-1527. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Barnes, Jerod Adam can be contacted via phone (720) 321-4161.Contact Information
Primary practice address
11600 W 2Nd Pl
Lakewood CO 80228-1527
Phone: (720) 321-4161
Fax: (720) 321-4165
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA05781 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA 2281 | Colorado |
Profile Details
NPI number | 1912914854 |
---|---|
LBN Legal business name | Barnes, Jerod Adam |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 2nd, 2006 |
Last updated | Aug 14th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1912914854 | NPPES |
Colorado | MEDICAID | 03572579 |
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