Barth, Brad Clayton
Barth, Brad Clayton is an sole proprietor health care provider with primary practice located at 1401 Bailey Ave , Needles CA 92363-3103. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Barth, Brad Clayton can be contacted via phone (760) 326-7141.Contact Information
Primary practice address
1401 Bailey Ave
Needles CA 92363-3103
Phone: (760) 326-7141
Fax: (760) 326-7167
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | A66743 | California |
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | A66743 | California |
Profile Details
NPI number | 1104894336 |
---|---|
LBN Legal business name | Barth, Brad Clayton |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 14th, 2006 |
Last updated | Sep 26th, 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 | 1104894336 | NPPES |
California | MEDICAID | 00A667430 | |
California | MEDICAID | 443341 |
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