Barham, Jonathan Mack

Barham, Jonathan Mack is an individual health care provider with primary practice located at 3418 Medical Park Dr Suite 5, Monroe LA 71203-2376. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Barham, Jonathan Mack can be contacted via phone (318) 388-8190.

Contact Information

Primary practice address
3418 Medical Park Dr Suite 5 Monroe LA 71203-2376
Phone: (318) 388-8190
Fax: (318) 329-5981
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 07884R Louisiana
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X F0865 Texas

Profile Details

NPI number 1992702641
LBN Legal business name Barham, Jonathan Mack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jul 8th, 2007 - about 19 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 1992702641 NPPES
Louisiana MEDICAID 1394831

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