Loeb, Mary A

Loeb, Mary A is an individual health care provider with primary practice located at 2073 Olympic St , Springfield OR 97477-3413. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Loeb, Mary A can be contacted via phone (541) 682-3550.

Contact Information

Primary practice address
2073 Olympic St Springfield OR 97477-3413
Phone: (541) 682-3550
Fax: (541) 682-3551
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD165012 Oregon
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X MD165012 Oregon

Profile Details

NPI number 1982663001
LBN Legal business name Loeb, Mary A
Credentials MEDICAL DOCTOR
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2006
Last updated Apr 21st, 2015 - about 9 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 1982663001 NPPES
Oregon MEDICAID 500666605

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