Hackshaw, Barry T
Hackshaw, Barry T is an individual health care provider with primary practice located at 39000 Bob Hope Dr Hal B Wallis Bldg, Rancho Mirage CA 92270-3221. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Hackshaw, Barry T can be contacted via phone (760) 341-7682.Contact Information
Primary practice address
39000 Bob Hope Dr Hal B Wallis Bldg
Rancho Mirage CA 92270-3221
Phone: (760) 341-7682
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | C42563 | California |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 42563 | California |
Profile Details
| NPI number | 1639139983 |
|---|---|
| LBN Legal business name | Hackshaw, Barry T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Jan 6th, 2015 - about 9 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 | 1639139983 | NPPES |
| California | MEDICAID | 00C425630 |
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