Heresco, Frank Thomas

Heresco, Frank Thomas is an individual health care provider with primary practice located at 408 Nw 7Th St , Corvallis OR 97330-6308. He recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as his primary health care specialty. Heresco, Frank Thomas can be contacted via phone (541) 757-9933.

Contact Information

Primary practice address
408 Nw 7Th St Corvallis OR 97330-6308
Phone: (541) 757-9933
Fax: (541) 757-7713
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Orthopedic 111NX0800X 27-1620 Oregon

Profile Details

NPI number 1407853914
LBN Legal business name Heresco, Frank Thomas
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Oct 11th, 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 1407853914 NPPES
Oregon MEDICAID 008172

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