Provider Demographics
NPI:1245404177
Name:WILLIAM BARRISH, MD
Entity type:Organization
Organization Name:WILLIAM BARRISH, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRISH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:302-258-3952
Mailing Address - Street 1:7 CRIPPLE CREEK RUN
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:DE
Mailing Address - Zip Code:19968-9731
Mailing Address - Country:US
Mailing Address - Phone:302-258-3952
Mailing Address - Fax:302-645-8032
Practice Address - Street 1:17015 OLD ORCHARD RD
Practice Address - Street 2:SUITE 1
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-4849
Practice Address - Country:US
Practice Address - Phone:302-430-3205
Practice Address - Fax:302-645-8032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-22
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10005171208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
7894234OtherAETNA
1245404177OtherDIAMOND STATE PARTNERS
2432539OtherUHC, MAMSI, OPTIMUM CHOICE, ONENET
DE4751821OtherCIGNA
DE000000240160OtherUNISON
DE1245404177Medicaid
2432539OtherUHC, MAMSI, OPTIMUM CHOICE, ONENET