Provider Demographics
NPI:1689288383
Name:BARBER, JASON PATRICK
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:PATRICK
Last Name:BARBER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:813 BARCLAY ST
Mailing Address - Street 2:
Mailing Address - City:BELPRE
Mailing Address - State:OH
Mailing Address - Zip Code:45714-1641
Mailing Address - Country:US
Mailing Address - Phone:304-485-9838
Mailing Address - Fax:
Practice Address - Street 1:813 BARCLAY ST
Practice Address - Street 2:
Practice Address - City:BELPRE
Practice Address - State:OH
Practice Address - Zip Code:45714-1641
Practice Address - Country:US
Practice Address - Phone:304-485-9838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-01
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator