Eddy, Richard L

Eddy, Richard L is an individual health care provider with primary practice located at 221 W Stewart Ave Suite 101, Medford OR 97501-3609. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Eddy, Richard L can be contacted via phone (541) 776-2003.

Contact Information

Primary practice address
221 W Stewart Ave Suite 101 Medford OR 97501-3609
Phone: (541) 776-2003
Fax: (541) 776-9833
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X MD21518 Oregon

Profile Details

NPI number 1770571200
LBN Legal business name Eddy, Richard L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Jul 8th, 2007 - about 18 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 1770571200 NPPES
Oregon MEDICAID 151289
Oregon Other H680401

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