Trubenbach, Thomas Jason
Trubenbach, Thomas Jason is an individual health care provider with primary practice located at 1311 E Barnett Rd Suite 201, Medford OR 97504-8225. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse First Assistant. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Trubenbach, Thomas Jason can be contacted via phone (541) 779-5007.Contact Information
Primary practice address
1311 E Barnett Rd Suite 201
Medford OR 97504-8225
Phone: (541) 779-5007
Fax: (541) 779-2055
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 200550156NP | Oregon |
Nursing Service Providers / Registered Nurse First Assistant | 163WR0006X | 200040988RN | Oregon |
Profile Details
NPI number | 1396759916 |
---|---|
LBN Legal business name | Trubenbach, Thomas Jason |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 28th, 2006 |
Last updated | Nov 13th, 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 | 1396759916 | NPPES |
Oregon | MEDICAID | 297670 |
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