Choate, Laurance Walter
Choate, Laurance Walter is an individual health care provider with primary practice located at 1813 W Harvard Ave Ste 201 , Roseburg OR 97471-2754. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Choate, Laurance Walter can be contacted via phone (541) 440-6390.Contact Information
Primary practice address
1813 W Harvard Ave Ste 201
Roseburg OR 97471-2754
Phone: (541) 440-6390
Fax: (541) 440-6392
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 36137 | Iowa |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD158348 | Oregon |
Profile Details
| NPI number | 1598737033 |
|---|---|
| LBN Legal business name | Choate, Laurance Walter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Mar 13th, 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 | 1598737033 | NPPES |
| Iowa | MEDICAID | 0460477 | |
| Iowa | Other | 39425 |
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