Nordal, James D

Nordal, James D is an sole proprietor health care provider with primary practice located at 114 W Palmer St , Cave Junction OR 97523-9667. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nordal, James D can be contacted via phone (541) 592-5099.

Contact Information

Primary practice address
114 W Palmer St Cave Junction OR 97523-9667
Phone: (541) 592-5099
Fax: (541) 592-4636
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD18527 Oregon

Profile Details

NPI number 1558347260
LBN Legal business name Nordal, James D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2005
Last updated Apr 14th, 2016 - about 9 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 1558347260 NPPES
Oregon MEDICAID 061726

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