Kordus, Michael J

Kordus, Michael J is an individual health care provider with primary practice located at 8385 Division Rd Ste 101 , White City OR 97503-1176. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Kordus, Michael J can be contacted via phone (541) 826-5853.

Contact Information

Primary practice address
8385 Division Rd Ste 101 White City OR 97503-1176
Phone: (541) 826-5853
Fax: (541) 826-5843
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 9800938 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD162875 Oregon

Profile Details

NPI number 1013970540
LBN Legal business name Kordus, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Nov 16th, 2020 - about 4 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 1013970540 NPPES
Tennessee Other 4113343 BLUE SHIELD
Tennessee Other 1118U BLUE SHIELD
Tennessee Other P00024602 BLUE SHIELD
Tennessee MEDICAID 247376291B BLUE SHIELD
Tennessee MEDICAID 3889674 BLUE SHIELD
Tennessee MEDICAID 891118U BLUE SHIELD
Tennessee MEDICAID 500686045 BLUE SHIELD

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