Bender, Edward M
Bender, Edward M is an individual health care provider with primary practice located at 3640 Nw Samaritan Dr Ste 100B , Corvallis OR 97330-3784. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Bender, Edward M can be contacted via phone (541) 768-5223.Contact Information
Primary practice address
3640 Nw Samaritan Dr Ste 100B
Corvallis OR 97330-3784
Phone: (541) 768-5223
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | MD179220 | Oregon |
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 114090 | Missouri |
Profile Details
NPI number | 1235241316 |
---|---|
LBN Legal business name | Bender, Edward M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 31st, 2006 |
Last updated | Nov 5th, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1235241316 | NPPES |
Missouri | Other | 604419 | BCBS |
Missouri | MEDICAID | 036070837 | BCBS |
Missouri | Other | 373430 | BCBS |
Missouri | MEDICAID | 036070837 | BCBS |
Missouri | Other | P00779909 | BCBS |
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