Micek, Jennifer L

Micek, Jennifer L is an individual health care provider with primary practice located at 530 Nw 27Th St , Corvallis OR 97330-5223. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Micek, Jennifer L can be contacted via phone (541) 766-6835.

Contact Information

Primary practice address
530 Nw 27Th St Corvallis OR 97330-5223
Phone: (541) 766-6835
Fax: (541) 766-6186
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO25970 Oregon

Profile Details

NPI number 1063485423
LBN Legal business name Micek, Jennifer L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Aug 4th, 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 1063485423 NPPES
Oregon MEDICAID 168395
Oregon Other R103163

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