Norman, Jed Ryan
Norman, Jed Ryan is an individual health care provider with primary practice located at 1813 W Harvard Ste 221 , Roseburg OR 97471. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Norman, Jed Ryan can be contacted via phone (541) 672-6511.Contact Information
Primary practice address
1813 W Harvard Ste 221
Roseburg OR 97471
Phone: (541) 672-6511
Fax: (541) 673-1892
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D3831 | Idaho |
| Dental Providers / General Practice | 1223G0001X | D8859 | Oregon |
Profile Details
| NPI number | 1184663718 |
|---|---|
| LBN Legal business name | Norman, Jed Ryan |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Jun 4th, 2013 - about 11 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 | 1184663718 | NPPES |
| Idaho | MEDICAID | 806926400 | |
| Idaho | MEDICAID | 278647 |
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