Honis, Gretel Elizabeth
Honis, Gretel Elizabeth is an sole proprietor health care provider with primary practice located at 525 Se Washington St , Dallas OR 97338-2834. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Honis, Gretel Elizabeth can be contacted via phone (503) 623-8301.Contact Information
Primary practice address
525 Se Washington St
Dallas OR 97338-2834
Phone: (503) 623-8301
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD26698 | Oregon |
Profile Details
NPI number | 1194760884 |
---|---|
LBN Legal business name | Honis, Gretel Elizabeth |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 18th, 2006 |
Last updated | Jan 23rd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194760884 | NPPES |
Oregon | Other | 025349029 | BSOR |
Oregon | MEDICAID | 006053 | BSOR |
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