Quave, Brett T

Quave, Brett T is an individual health care provider with primary practice located at 701 Golf View Dr , Medford OR 97504-9643. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Quave, Brett T can be contacted via phone (541) 494-1111.

Contact Information

Primary practice address
701 Golf View Dr Medford OR 97504-9643
Phone: (541) 494-1111
Fax: (541) 494-1099
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X A75659 California
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X MD00048162 Washington
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD157375 Oregon

Profile Details

NPI number 1013911361
LBN Legal business name Quave, Brett T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Oct 29th, 2014 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013911361 NPPES
Washington MEDICAID 8488843
Washington Other 500647357

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