De Mory, Anthony Charlies
De Mory, Anthony Charlies is an individual health care provider with primary practice located at 3355 Riverbend Dr Ste 200 , Springfield OR 97477-8800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. De Mory, Anthony Charlies can be contacted via phone (541) 485-6478.Contact Information
Primary practice address
3355 Riverbend Dr Ste 200
Springfield OR 97477-8800
Phone: (541) 485-6478
Fax: (541) 868-9606
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | M4027 | Texas |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | MD161523 | Oregon |
Profile Details
| NPI number | 1316944572 |
|---|---|
| LBN Legal business name | De Mory, Anthony Charlies |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2005 |
| Last updated | Mar 30th, 2021 - about 3 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 | 1316944572 | NPPES |
| Texas | Other | 8M2100 | BSBC |
| Texas | MEDICAID | 181118401 | BSBC |
| Texas | Other | MD161523 | BSBC |
| Texas | Other | G864980 | BSBC |
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