Brunader, Richard Ea
Brunader, Richard Ea is an individual health care provider with primary practice located at 2073 Olympic St , Springfield OR 97477-3413. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Brunader, Richard Ea can be contacted via phone (541) 682-3550.Contact Information
Primary practice address
2073 Olympic St
Springfield OR 97477-3413
Phone: (541) 682-3550
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD28020 | Oregon |
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | MD28020 | Oregon |
Profile Details
NPI number | 1912982992 |
---|---|
LBN Legal business name | Brunader, Richard Ea |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 13th, 2005 |
Last updated | Feb 9th, 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 | 1912982992 | NPPES |
Oregon | MEDICAID | 006726 |
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