Lanford, Jeremiah W
Lanford, Jeremiah W is an individual health care provider with primary practice located at 2450 Ne Mary Rose Pl Ste 210 , Bend OR 97701-7133. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Lanford, Jeremiah W can be contacted via phone (541) 706-5770.Contact Information
Primary practice address
2450 Ne Mary Rose Pl Ste 210
Bend OR 97701-7133
Phone: (541) 706-5770
Fax: (541) 429-6669
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | M5808 | Texas |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | M5808 | Texas |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD185769 | Oregon |
Profile Details
| NPI number | 1033230800 |
|---|---|
| LBN Legal business name | Lanford, Jeremiah W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2007 |
| Last updated | Mar 22nd, 2018 - about 7 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 | 1033230800 | NPPES |
| Oregon | Other | MD185769 | STATE LICENSE |
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