Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223S0112X | Oral and Maxillofacial Surgeon | KY6088 | KY |
Y | 204E00000X | Oral & Maxillofacial Surgeon | 6088 | KY |
NPI | 1063420032 |
---|---|
Provider Name | Dr. William Jason Barker |
First Address | Lexington, KY 40504-3751 |
Second Address | Lexington, KY 40504-3751 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2006 |
Last Update Date | 17/08/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000108567 | BCBS (01) | |
18162 | AETNA MEDICAL (01) | |
4578347 | AETNA DENTAL (01) | |
503927 | UNITED CONCORDIA (01) | |
60060880 | MEDICAID DENTAL (01) | KY |
64060882 | (05) | KY |
T54041 | (02) |