Mundall, John
Mundall, John is an individual health care provider with primary practice located at 1200 Hilyard St Ste S420 , Eugene OR 97401-8160. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Mundall, John can be contacted via phone (541) 686-2837.Contact Information
Primary practice address
1200 Hilyard St Ste S420
Eugene OR 97401-8160
Phone: (541) 686-2837
Fax: (541) 687-0256
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD09779 | Oregon |
Profile Details
| NPI number | 1669543138 |
|---|---|
| LBN Legal business name | Mundall, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1669543138 | NPPES |
| Oregon | MEDICAID | 231571 |
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