Boespflug, Randolph Roy
Boespflug, Randolph Roy is an individual health care provider with primary practice located at 380 9Th St , Florence OR 97439-9470. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Boespflug, Randolph Roy can be contacted via phone (541) 997-7134.Contact Information
Primary practice address
380 9Th St
Florence OR 97439-9470
Phone: (541) 997-7134
Fax: (541) 997-9650
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD15363 | Oregon |
Profile Details
| NPI number | 1750559605 |
|---|---|
| LBN Legal business name | Boespflug, Randolph Roy |
| Credentials | MD MBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2008 |
| Last updated | Dec 8th, 2009 - about 16 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 | 1750559605 | NPPES |
| Oregon | Other | 177659 | DMAP |
| Oregon | Other | 1750559605 | DMAP |
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