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:
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Health care specialties

SpecialtyCodeLicense #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 12 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.

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Identifiers

StateTypeNumberIssuer
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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