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
Fax: (541) 266-4501
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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