Boller, Brandi L
Boller, Brandi L is an individual health care provider with primary practice located at 777 Nw 9Th St Ste 320 , Corvallis OR 97330-6169. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Boller, Brandi L can be contacted via phone (541) 768-1840.Contact Information
Primary practice address
777 Nw 9Th St Ste 320
Corvallis OR 97330-6169
Phone: (541) 768-1840
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DO203116 | Oregon |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 31584 | Kansas |
Profile Details
| NPI number | 1528034683 |
|---|---|
| LBN Legal business name | Boller, Brandi L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2006 |
| Last updated | Jul 19th, 2022 - about 2 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 | 1528034683 | NPPES |
| Kansas | Other | 103827 | BLUE CROSS/BLUE SHIELD |
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