Muday, Theresa Aileen
Muday, Theresa Aileen is an sole proprietor health care provider with primary practice located at 1900 Woodland Dr , Coos Bay OR 97420-0000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Muday, Theresa Aileen can be contacted via phone (541) 267-5151.Contact Information
Primary practice address
1900 Woodland Dr
Coos Bay OR 97420-0000
Phone: (541) 267-5151
Fax: (541) 266-4501
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD22695 | Oregon |
Profile Details
NPI number | 1639154875 |
---|---|
LBN Legal business name | Muday, Theresa Aileen |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 9th, 2005 |
Last updated | Oct 26th, 2007 - about 17 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 | 1639154875 | NPPES |
Oregon | Other | 1407812365 | NBMC NPI NUMBER-GROUP |
Oregon | MEDICAID | 165468 | NBMC NPI NUMBER-GROUP |
Oregon | Other | CD8723 | NBMC NPI NUMBER-GROUP |
Oregon | Other | 0577260001 | NBMC NPI NUMBER-GROUP |
Oregon | Other | R0000WFBTV | NBMC NPI NUMBER-GROUP |
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