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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1639139983 NPPES
California MEDICAID 00C425630

Popular Providers