Waddell, Barry Lee

Waddell, Barry Lee is an individual health care provider with primary practice located at 751 S Bascom Ave Anesthesiology Department, San Jose CA 95128-2604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Waddell, Barry Lee can be contacted via phone (408) 885-5745.

Contact Information

Primary practice address
751 S Bascom Ave Anesthesiology Department San Jose CA 95128-2604
Phone: (408) 885-5745
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A83161 California

Profile Details

NPI number 1083677959
LBN Legal business name Waddell, Barry Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Jan 22nd, 2010 - about 14 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 1083677959 NPPES
California MEDICAID 00A831610

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