Mathison, Barry A
Mathison, Barry A is an individual health care provider with primary practice located at 2056 Lebanon Rd , Crawfordsville IN 47933-2143. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mathison, Barry A can be contacted via phone (765) 361-9930.Contact Information
Primary practice address
2056 Lebanon Rd
Crawfordsville IN 47933-2143
Phone: (765) 361-9930
Fax: (765) 361-9931
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 01038539A | Indiana |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1038539A | Indiana |
Profile Details
| NPI number | 1396816922 |
|---|---|
| LBN Legal business name | Mathison, Barry A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 13th, 2006 |
| Last updated | Aug 2nd, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396816922 | NPPES |
| Indiana | Other | 000000207927 | ANTHEM ID# |
| Indiana | MEDICAID | 100196520 | ANTHEM ID# |
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