Provider Demographics
NPI:1649701384
Name:UBERWOUNDCARE INC
Entity type:Organization
Organization Name:UBERWOUNDCARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:PROF
Authorized Official - First Name:BRET
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:BARKER
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, RN, CCRN, PHN
Authorized Official - Phone:831-737-8275
Mailing Address - Street 1:2880 ZANKER RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95134-2117
Mailing Address - Country:US
Mailing Address - Phone:866-310-2314
Mailing Address - Fax:
Practice Address - Street 1:2880 ZANKER RD
Practice Address - Street 2:SUITE 203
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95134-2117
Practice Address - Country:US
Practice Address - Phone:866-310-2314
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-24
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty