Jannelli, Chris Anthony

Jannelli, Chris Anthony is an individual health care provider with primary practice located at 2700 Nw Stewart Pkwy , Roseburg OR 97470-1281. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Jannelli, Chris Anthony can be contacted via phone (541) 677-4313.

Contact Information

Primary practice address
2700 Nw Stewart Pkwy Roseburg OR 97470-1281
Fax: (541) 677-4533
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD15609 Oregon
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD15609 Oregon

Profile Details

NPI number 1255302444
LBN Legal business name Jannelli, Chris Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Feb 28th, 2009 - about 15 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 1255302444 NPPES
Washington MEDICAID 8363459
Washington MEDICAID 078386
Washington Other 930069801

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