Folsom, David L

Folsom, David L is an individual health care provider with primary practice located at 520 Medical Center Dr Suite 201, Medford OR 97504-4334. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Folsom, David L can be contacted via phone (541) 789-5710.

Contact Information

Primary practice address
520 Medical Center Dr Suite 201 Medford OR 97504-4334
Phone: (541) 789-5710
Fax: (541) 789-5711
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MD18962 Oregon

Profile Details

NPI number 1417005729
LBN Legal business name Folsom, David L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Jun 18th, 2013 - about 12 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 1417005729 NPPES
Oregon MEDICAID 127246

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