1396796413 NPI number — DR. WILLIAM JOSEPH BARRISH M.D.

Table of content: DR. WILLIAM JOSEPH BARRISH M.D. (NPI 1396796413)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396796413 NPI number — DR. WILLIAM JOSEPH BARRISH M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BARRISH
Provider First Name:
WILLIAM
Provider Middle Name:
JOSEPH
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1396796413
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/17/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
329 MULLET RUN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MILFORD
Provider Business Mailing Address State Name:
DE
Provider Business Mailing Address Postal Code:
19963-5373
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
302-424-4141
Provider Business Mailing Address Fax Number:
302-422-6506

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
329 MULLET RUN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MILFORD
Provider Business Practice Location Address State Name:
DE
Provider Business Practice Location Address Postal Code:
19963-5373
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
302-424-4141
Provider Business Practice Location Address Fax Number:
302-422-6506
Provider Enumeration Date:
05/13/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208100000X , with the licence number:  C10005171 , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0001095301 , issued by the state of ( DE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 51-0370286 . This is a "DEVON HEALTH SERVICES" identifier . This identifiers is of the category "OTHER".
  • Identifier: 240160 . This is a "UNISON" identifier . This identifiers is of the category "OTHER".
  • Identifier: 250012410 . This is a "RAILROAD MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 262374796 . This is a "BC/BS" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 51-0370286 . This is a "UNION LABOR LIFE INSURANCE COMPANY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 51-0343207 . This is a "BLUE CROSS BLUE SHIELD OF DELAWARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 51-0370286 . This is a "CORVEL/CORCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1245404177 , issued by the state of ( DE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 290804 . This is a "ONENET PPO, MAMSI, OPTIMUM CHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1245404177 . This is a "DIAMOND STATE PARTNERS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2011742000 . This is a "AMERIHEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 204972 . This is a "UNISON HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2432539 . This is a "UHC, MAMSI, OPTIMUM CHOICE, ONENET" identifier . This identifiers is of the category "OTHER".
  • Identifier: 262374796 . This is a "DPCI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 51-0370286 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 51-0370286 . This is a "HEALTH NET - TRICARE/CHAMPUS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7894234 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2556686 . This is a "AETNA US HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4751821 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".