Anderson, Brad

Anderson, Brad is an individual health care provider with primary practice located at 1255 Hilyard St , Eugene OR 97401-3718. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Anderson, Brad can be contacted via phone (503) 686-7300.

Contact Information

Primary practice address
1255 Hilyard St Eugene OR 97401-3718
Phone: (503) 686-7300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD26641 Oregon

Profile Details

NPI number 1295757516
LBN Legal business name Anderson, Brad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Dec 3rd, 2007 - about 17 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 1295757516 NPPES
Other I64249 GROUP HEALTH
MEDICAID 8465031 GROUP HEALTH
Other I64249 GROUP HEALTH
Other 214073 GROUP HEALTH
Other I64249 GROUP HEALTH
MEDICAID 278471 GROUP HEALTH

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