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
Fax: (765) 361-9931
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396816922 NPPES
Indiana Other 000000207927 ANTHEM ID#
Indiana MEDICAID 100196520 ANTHEM ID#

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