Kassube, James M

Kassube, James M is an individual health care provider with primary practice located at 920 Country Club Rd Suite 200A, Eugene OR 97401-6024. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Kassube, James M can be contacted via phone (541) 342-2134.

Contact Information

Primary practice address
920 Country Club Rd Suite 200A Eugene OR 97401-6024
Fax: (541) 242-4227
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD26539 Oregon

Profile Details

NPI number 1720005382
LBN Legal business name Kassube, James M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Oct 24th, 2011 - about 13 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 1720005382 NPPES
Oregon MEDICAID 247343

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