Ahlen, John Vernon

Ahlen, John Vernon is an individual health care provider with primary practice located at 2280 Marcola Rd , Springfield OR 97477-2594. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ahlen, John Vernon can be contacted via phone (541) 747-4300.

Contact Information

Primary practice address
2280 Marcola Rd Springfield OR 97477-2594
Fax: (541) 747-0655
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD10294 Oregon

Profile Details

NPI number 1669449898
LBN Legal business name Ahlen, John Vernon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Feb 22nd, 2012 - about 13 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669449898 NPPES
Oregon MEDICAID 233221

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