Notenboom, Hans

Notenboom, Hans is an individual health care provider with primary practice located at 1255 Hilyard St , Eugene OR 97401-3718. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Notenboom, Hans can be contacted via phone (503) 686-7300.

Contact Information

Primary practice address
1255 Hilyard St Eugene OR 97401-3718
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD21273 Oregon

Profile Details

NPI number 1427004357
LBN Legal business name Notenboom, Hans
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Dec 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427004357 NPPES
Other A030 CHAMPUS
Other H08149 CHAMPUS
Other H08149 CHAMPUS
Other H08149 CHAMPUS
MEDICAID 130262 CHAMPUS
MEDICAID 8249781 CHAMPUS
MEDICAID XPY194123 CHAMPUS

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