Jacob Seth Barksdale

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Albertville, AL

NPI 1033971007 · NPPES record last updated Jan 25, 2024

Key facts

NPI
1033971007
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
611 Preston Ave
Albertville, AL 35950-3807
Phone
(256) 254-0730
NPI assigned
Jan 25, 2024
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

611 Preston Ave
Albertville, AL 35950-3807

Mailing address

611 Preston Ave
Albertville, AL 35950-3807
Phone (256) 254-0730

Other providers in Albertville, AL

All providers in Albertville, AL · Student in an Organized Health Care Education/Training Program in Alabama

Sources for this page

Verify at the official NPI Registry.