Braich, Theodore Anthony
Braich, Theodore Anthony is an individual health care provider with primary practice located at 2500 Ne Neff Rd , Bend OR 97701-6015. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Braich, Theodore Anthony can be contacted via phone (541) 706-5800.Contact Information
Primary practice address
2500 Ne Neff Rd
Bend OR 97701-6015
Phone: (541) 706-5800
Fax: (541) 706-6341
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD24320 | Oregon |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | MD24320 | Oregon |
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | MD24320 | Oregon |
Profile Details
| NPI number | 1649286204 |
|---|---|
| LBN Legal business name | Braich, Theodore Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Dec 14th, 2016 - about 8 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 | 1649286204 | NPPES |
| Oregon | Other | 00411275 | MEDICARE RAILROAD |
| Oregon | Other | P00411275 | MEDICARE RAILROAD |
| Oregon | MEDICAID | 226900 | MEDICARE RAILROAD |
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