Jeffrey, Douglas Paul
Jeffrey, Douglas Paul is an individual health care provider with primary practice located at 2280 Marcola Rd , Springfield OR 97477-2594. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jeffrey, Douglas Paul can be contacted via phone (541) 747-4300.Contact Information
Primary practice address
2280 Marcola Rd
Springfield OR 97477-2594
Phone: (541) 747-4300
Fax: (541) 747-0655
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD11811 | Oregon |
Profile Details
| NPI number | 1174592117 |
|---|---|
| LBN Legal business name | Jeffrey, Douglas Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Feb 22nd, 2012 - 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 | 1174592117 | NPPES |
| Oregon | MEDICAID | 271502 |
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