Laciak, Robert John
Laciak, Robert John is an individual health care provider with primary practice located at 990 Nw Circle Blvd Suite 102, Corvallis OR 97330-1967. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Laciak, Robert John can be contacted via phone (541) 768-5486.Contact Information
Primary practice address
990 Nw Circle Blvd Suite 102
Corvallis OR 97330-1967
Phone: (541) 768-5486
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 6851346-1205 | Utah |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | MD152679 | Oregon |
Profile Details
| NPI number | 1114196169 |
|---|---|
| LBN Legal business name | Laciak, Robert John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 25th, 2008 |
| Last updated | Nov 5th, 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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