Dandy, Gary B.

Dandy, Gary B. is an individual health care provider with primary practice located at 2570 Nw Edenbower Blvd Suite 100, Roseburg OR 97470-6220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dandy, Gary B. can be contacted via phone (541) 957-1111.

Contact Information

Primary practice address
2570 Nw Edenbower Blvd Suite 100 Roseburg OR 97470-6220
Phone: (541) 957-1111
Fax: (541) 957-5705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD16240 Oregon

Profile Details

NPI number 1184697401
LBN Legal business name Dandy, Gary B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Jul 9th, 2007 - about 17 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 1184697401 NPPES
Oregon MEDICAID 059969
Oregon Other J406438

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