Ford, John R

Ford, John R is an individual health care provider with primary practice located at 920 Country Club Rd Suite 200A, Eugene OR 97401-6024. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ford, John R can be contacted via phone (541) 342-2134.

Contact Information

Primary practice address
920 Country Club Rd Suite 200A Eugene OR 97401-6024
Fax: (541) 686-6021
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD22857 Oregon

Profile Details

NPI number 1396749859
LBN Legal business name Ford, John R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Oct 25th, 2011 - about 13 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 1396749859 NPPES
Oregon MEDICAID 287541

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