Altamirano, Nancy

Altamirano, Nancy is an individual health care provider with primary practice located at 1900 Woodland Dr , Coos Bay OR 97420-2099. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Altamirano, Nancy can be contacted via phone (541) 267-5151.

Contact Information

Primary practice address
1900 Woodland Dr Coos Bay OR 97420-2099
Fax: (541) 266-4566
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101056004 Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD190330 Oregon

Profile Details

NPI number 1932159159
LBN Legal business name Altamirano, Nancy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Aug 6th, 2019 - about 5 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 1932159159 NPPES
Virginia Other C09463 GROUP PTAN
Virginia MEDICAID 500759702 GROUP PTAN

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