Divine, Robert Neill
Divine, Robert Neill is an individual health care provider with primary practice located at 140 South Holly Street , Medford OR 97501. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Divine, Robert Neill can be contacted via phone (541) 774-8200.Contact Information
Primary practice address
140 South Holly Street
Medford OR 97501
Phone: (541) 774-8200
Fax: (541) 774-7964
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1366734949 |
|---|---|
| LBN Legal business name | Divine, Robert Neill |
| Credentials | Bachelor of Arts (BA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 13th, 2011 |
| Last updated | Dec 19th, 2014 - 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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