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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194759670 NPPES
Oregon MEDICAID 027887

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