Kilbourne, Barry Joseph
Kilbourne, Barry Joseph is an individual health care provider with primary practice located at 309 County Route 47 Suite 1, Saranac Lake NY 12983-5405. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kilbourne, Barry Joseph can be contacted via phone (518) 891-2688.Contact Information
Primary practice address
309 County Route 47 Suite 1
Saranac Lake NY 12983-5405
Phone: (518) 891-2688
Fax: (518) 891-4120
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 129150 | New York |
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 129150 | New York |
Profile Details
NPI number | 1619977675 |
---|---|
LBN Legal business name | Kilbourne, Barry Joseph |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 29th, 2005 |
Last updated | May 14th, 2008 - about 17 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 | 1619977675 | NPPES |
New York | Other | 50E101 | BCBS |
New York | Other | 109016 | BCBS |
New York | Other | 1619977675 | BCBS |
New York | Other | 50E101 | BCBS |
New York | Other | 000401212001 | BCBS |
New York | MEDICAID | 00459467 | BCBS |
New York | Other | P00000040484 | BCBS |
New York | Other | DD2645 | BCBS |
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