Medford Neuro Clinic Inc
LBN: Medford Neuro Clinic Inc
Medford Neuro Clinic Inc is an health care organization with primary practice located at 2900 State St , Medford OR 97504-8475. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is the primary health care specialty.
Medford Neuro Clinic Inc can be contacted via phone (541) 779-1672, or through Narus, Michael Steven via phone (541) 779-1672.
Contact Information
Primary practice address
2900 State St
Medford OR 97504-8475
Phone: (541) 779-1672
Fax: (541) 618-9434
Website:
Authorized official contact:
Name: Narus, Michael Steven Doctor of Osteopathy (DO)
Phone: (541) 779-1672
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | ||
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X |
Profile Details
| NPI number | 1336149954 |
|---|---|
| LBN Legal business name | Medford Neuro Clinic Inc |
| DBA Doing business as | |
| Authorized official | Narus, Michael Steven Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 26th, 2005 |
| Last updated | Jul 10th, 2007 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336149954 | NPPES |
| Oregon | MEDICAID | 028571 | |
| Oregon | Other | R0000WCGJP |
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