Burbank, Pam Marie
Burbank, Pam Marie is an sole proprietor health care provider with primary practice located at 1900 Woodland Dr , Coos Bay OR 97420-2045. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Burbank, Pam Marie can be contacted via phone (541) 266-1209.Contact Information
Primary practice address
1900 Woodland Dr
Coos Bay OR 97420-2045
Phone: (541) 266-1209
Fax: (541) 266-4515
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | 084053617RN | Oregon |
Profile Details
| NPI number | 1992003180 |
|---|---|
| LBN Legal business name | Burbank, Pam Marie |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 11th, 2011 |
| Last updated | May 20th, 2013 - about 11 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 | 1992003180 | NPPES |
| Oregon | Other | R0000WFBTV | NBMC GROUP MEDICARE NUMBER |
| Oregon | Other | 1407812365 | NBMC GROUP MEDICARE NUMBER |
| Oregon | Other | 930635514 | NBMC GROUP MEDICARE NUMBER |
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