Donald, Ian Ross

Donald, Ian Ross is an individual health care provider with primary practice located at 775 Sw 9Th St Ste H , Newport OR 97365-4876. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Donald, Ian Ross can be contacted via phone (541) 574-4767.

Contact Information

Primary practice address
775 Sw 9Th St Ste H Newport OR 97365-4876
Phone: (541) 574-4767
Fax: (541) 574-4747
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A24576 California

Profile Details

NPI number 1336283563
LBN Legal business name Donald, Ian Ross
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2007
Last updated Aug 1st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336283563 NPPES
Idaho Other 000010162464 BLUE SHIELD
Idaho Other 000010162465 BLUE SHIELD
Idaho Other B5667 BLUE SHIELD
Idaho MEDICAID 002704900 BLUE SHIELD

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