Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 0101243208 | VA |
N | 111NI0900X | Internist | 0101243208 | VA |
N | 207R00000X | Internist | 2006-00412 | NC |
N | 111NI0900X | Internist | 2006-00412 | NC |
Y | 207RH0002X | Hospice and Palliative Medicine | 0101243208 | VA |
NPI | 1376716779 |
---|---|
Provider Name | Joshua S. Barclay |
First Address | Charlottesville, VA 22906-9007 |
Second Address | Charlottesville, VA 22908-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2008 |
Last Update Date | 30/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1376716779 | (05) | VA |