Hinckle, Peter A

Hinckle, Peter A is an individual health care provider with primary practice located at 600 Ne Avalon Pl , Corvallis OR 97330-9258. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Hinckle, Peter A can be contacted via phone (541) 745-5053.

Contact Information

Primary practice address
600 Ne Avalon Pl Corvallis OR 97330-9258
Fax: (503) 391-7422
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD18129 Oregon

Profile Details

NPI number 1710098181
LBN Legal business name Hinckle, Peter A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Feb 23rd, 2021 - about 4 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 1710098181 NPPES
Oregon MEDICAID 057443

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