Pollack, Bonnie C
Pollack, Bonnie C is an individual health care provider with primary practice located at 1835 Pearl St , Eugene OR 97401-8217. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Pollack, Bonnie C can be contacted via phone (541) 687-1668.Contact Information
Primary practice address
1835 Pearl St
Eugene OR 97401-8217
Phone: (541) 687-1668
Fax: (541) 684-3061
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD16125 | Oregon |
Profile Details
| NPI number | 1891765962 |
|---|---|
| LBN Legal business name | Pollack, Bonnie C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Apr 15th, 2009 - about 15 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 | 1891765962 | NPPES |
| Oregon | MEDICAID | 055603 |
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