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Contact Information

JAKE A BARBARA, DO
100 WHITE STREET
JACKSONVILLE, NC28545
 Phone: 910-449-6500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JAKE A BARBARA · (Male)

NPI Number 1043965684
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 02/12/2022
Last updated 11/08/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0102208195
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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