Maccollum, Barbara J

Maccollum, Barbara J is an individual health care provider with primary practice located at 1300 N 12Th St Suite 613, Phoenix AZ 85006-2848. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Maccollum, Barbara J can be contacted via phone (602) 254-5321.

Contact Information

Primary practice address
1300 N 12Th St Suite 613 Phoenix AZ 85006-2848
Phone: (602) 254-5321
Fax: (602) 254-6582
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 15579 Arizona

Profile Details

NPI number 1215925821
LBN Legal business name Maccollum, Barbara J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated Feb 17th, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215925821 NPPES
Arizona Other 317047 MEDICAID GROUP NUMBER
Arizona Other 120390 MEDICAID GROUP NUMBER
Arizona MEDICAID 260240 MEDICAID GROUP NUMBER

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