Eubanks, Brian David
Eubanks, Brian David is an individual health care provider with primary practice located at 10466 Se Main St , Milwaukie OR 97222-7509. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Eubanks, Brian David can be contacted via phone (503) 353-9976.Contact Information
Primary practice address
10466 Se Main St
Milwaukie OR 97222-7509
Phone: (503) 353-9976
Fax: (503) 353-9777
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 4138 | Oregon |
Profile Details
NPI number | 1346218831 |
---|---|
LBN Legal business name | Eubanks, Brian David |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 9th, 2006 |
Last updated | Jul 8th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1346218831 | NPPES |
Oregon | MEDICAID | 232013 |
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