Hitzman, Jonathan C

Hitzman, Jonathan C is an individual health care provider with primary practice located at 1600 Se Court Pl Suite 201, Pendleton OR 97801-3281. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hitzman, Jonathan C can be contacted via phone (541) 276-1700.

Contact Information

Primary practice address
1600 Se Court Pl Suite 201 Pendleton OR 97801-3281
Fax: (541) 276-6327
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD20516 Oregon

Profile Details

NPI number 1497741656
LBN Legal business name Hitzman, Jonathan C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Mar 23rd, 2010 - about 14 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 1497741656 NPPES
Oregon MEDICAID 150643

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