Susan B Barksdale, PHYSICAN ASSISTANT
Physician Assistant in Hartford, Connecticut
1235136300- Practice location
- 85 Seymour St, Suite 607, Hartford, CT 06106-5501
- Phone
- 860-549-3210
- Fax
- 860-247-3803
- Last updated
- March 7, 2012
Susan B Barksdale is a Physician Assistant based in Hartford, CT. Susan B Barksdale practices in Hartford, CT and has the professional credentials of PHYSICAN ASSISTANT. The NPI Number for Susan B Barksdale is 1235136300 and holds a License No. 000153 (CT). The current practice location address for Susan B Barksdale is 85 Seymour St, Suite 607, Hartford, CT 06106-5501 and can be reached out via phone at 860-549-3210 and via fax at 860-247-3803.
Provider Profile Details
- NPI Number
- 1235136300
- Provider Name
- Susan B Barksdale
- Credential
- PHYSICAN ASSISTANT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 85 Seymour St, Suite 607, Hartford, CT 06106-5501
- Phone Number
- 860-549-3210
- Fax Number
- 860-247-3803
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 5, 2005
- Last Update Date
- March 7, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 85 Seymour St
Suite 607
Hartford, CT 06106-5501 - City
- Hartford
- State
- Connecticut
- Zip
- 06106-5501
- Phone Number
- 860-549-3210
- Fax Number
- 860-247-3803
Provider Business Mailing Address Details
- Address
- 85 Seymour St
Suite 607
Hartford, CT 06106-5501 - City
- Hartford
- State
- CT
- Zip
- 06106-5501
- Phone Number
- 860-549-3210
- Fax Number
- 860-247-3803
License Information
- License Number (1)
- 000153
- License State (1)
- CT
- Taxonomy (1)
- Physician Assistant · 363A00000X · Primary
- License Number (2)
- 000153
- License State (2)
- CT
- Taxonomy (2)
- Physician Assistant, Medical · 363AM0700X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Susan B Barksdale, PHYSICAN ASSISTANT?
The NPI number of Susan B Barksdale, PHYSICAN ASSISTANT is 1235136300. It was assigned on July 5, 2005 and is currently active in the NPPES registry.
What is the specialty of Susan B Barksdale, PHYSICAN ASSISTANT?
Susan B Barksdale, PHYSICAN ASSISTANT is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 000153.
Where does Susan B Barksdale, PHYSICAN ASSISTANT practice?
The practice location is 85 Seymour St, Suite 607, Hartford, CT 06106-5501. The office can be reached at 860-549-3210 (phone) or 860-247-3803 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235136300 directly on the NPPES registry website.