Van Tassel, Edward L
Van Tassel, Edward L is an individual health care provider with primary practice located at 2200 Bryant Williams Drive Suite 1, Klamath Falls OR 97601-1120. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Van Tassel, Edward L can be contacted via phone (541) 884-7746.Contact Information
Primary practice address
2200 Bryant Williams Drive Suite 1
Klamath Falls OR 97601-1120
Phone: (541) 884-7746
Fax: (541) 884-0848
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | DO25890 | Oregon |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | DO25890 | Oregon |
Profile Details
| NPI number | 1093737199 |
|---|---|
| LBN Legal business name | Van Tassel, Edward L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1093737199 | NPPES |
| Oregon | Other | P00464722 | RAIL ROAD MEDICARE |
| Oregon | MEDICAID | 213618 | RAIL ROAD MEDICARE |
| Oregon | Other | XPY145960 | RAIL ROAD MEDICARE |
| Oregon | Other | P00419803 | RAIL ROAD MEDICARE |
| Oregon | Other | 20889454297601 | RAIL ROAD MEDICARE |
| Oregon | Other | 820591000 | RAIL ROAD MEDICARE |
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