Carter, Dallas Arthur

Carter, Dallas Arthur is an sole proprietor health care provider with primary practice located at 1900 Woodland Dr , Coos Bay OR 97420-0000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Carter, Dallas Arthur can be contacted via phone (541) 267-5151.

Contact Information

Primary practice address
1900 Woodland Dr Coos Bay OR 97420-0000
Phone: (541) 267-5151
Fax: (541) 266-4520
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD18088 Oregon

Profile Details

NPI number 1972587764
LBN Legal business name Carter, Dallas Arthur
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972587764 NPPES
Oregon Other CB3544 RR MEDICARE GROUP NUMBER
Oregon Other R0000WFBTV RR MEDICARE GROUP NUMBER
Oregon Other P00281134 RR MEDICARE GROUP NUMBER
Oregon MEDICAID 052410 RR MEDICARE GROUP NUMBER
Oregon Other 1407812365 RR MEDICARE GROUP NUMBER
Oregon Other 930635514 RR MEDICARE GROUP NUMBER
Oregon Other MD18088 RR MEDICARE GROUP NUMBER

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