Barksdale, Edward M

Barksdale, Edward M is an individual health care provider with primary practice located at 11100 Euclid Avenue , Cleveland OH 44106. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is his primary health care specialty. Barksdale, Edward M can be contacted via phone (216) 844-7874.

Contact Information

Primary practice address
11100 Euclid Avenue Cleveland OH 44106
Phone: (216) 844-7874
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD053529L Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 35-090195 Ohio
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 036.171546 Illinois

Profile Details

NPI number 1871565762
LBN Legal business name Barksdale, Edward M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Mar 21st, 2025 - about last year

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 1871565762 NPPES
Pennsylvania MEDICAID 001943914
Pennsylvania MEDICAID 0986241
Pennsylvania MEDICAID 0014799000009
Pennsylvania Other 749092
Pennsylvania Other 000000225713
Pennsylvania Other 000000527692
Pennsylvania Other 4510236
Pennsylvania Other 0986241
Pennsylvania Other 414644

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