Noonan, J
Noonan, J is an individual health care provider with primary practice located at 3615 Nw Samaritan Dr Ste 210 , Corvallis OR 97330-3771. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Noonan, J can be contacted via phone (541) 768-4501.Contact Information
Primary practice address
3615 Nw Samaritan Dr Ste 210
Corvallis OR 97330-3771
Phone: (541) 768-4501
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | MD25797 | Oregon |
Profile Details
NPI number | 1194759670 |
---|---|
LBN Legal business name | Noonan, J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 10th, 2006 |
Last updated | Jan 26th, 2021 - about 3 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 | 1194759670 | NPPES |
Oregon | MEDICAID | 027887 |
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