Schepergerdes, Stephan M

Schepergerdes, Stephan M is an individual health care provider with primary practice located at 4135 Quest Dr , Eugene OR 97402-8768. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Schepergerdes, Stephan M can be contacted via phone (541) 461-8006.

Contact Information

Primary practice address
4135 Quest Dr Eugene OR 97402-8768
Fax: (541) 463-2197
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD17923 Oregon

Profile Details

NPI number 1023088184
LBN Legal business name Schepergerdes, Stephan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Feb 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023088184 NPPES
Oregon MEDICAID 044789

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