Adair, Emmitt
Adair, Emmitt is an individual health care provider with primary practice located at 2650 Suzanne Way Ste 120 , Eugene OR 97408-7619. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Adair, Emmitt can be contacted via phone (541) 345-2800.Contact Information
Primary practice address
2650 Suzanne Way Ste 120
Eugene OR 97408-7619
Phone: (541) 345-2800
Fax: (541) 345-4419
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
NPI number | 1033776190 |
---|---|
LBN Legal business name | Adair, Emmitt |
Credentials | QMHP, CADC, SAP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 23rd, 2019 |
Last updated | Sep 20th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033776190 | NPPES |
Oregon | MEDICAID | 500763389 | |
Oregon | MEDICAID | 500763640 |
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