Verheyden, Jean S

Verheyden, Jean S is an individual health care provider with primary practice located at 2450 Ne Mary Rose Pl Suite 120, Bend OR 97701-7132. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Otolaryngic Allergy. Allopathic & Osteopathic Physicians / Otolaryngic Allergy is her primary health care specialty. Verheyden, Jean S can be contacted via phone (541) 382-3100.

Contact Information

Primary practice address
2450 Ne Mary Rose Pl Suite 120 Bend OR 97701-7132
Phone: (541) 382-3100
Fax: (541) 312-7050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 25065 Oregon
Allopathic & Osteopathic Physicians / Otolaryngic Allergy 207YX0602X MD25065 Oregon

Profile Details

NPI number 1760464812
LBN Legal business name Verheyden, Jean S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Mar 12th, 2010 - about 14 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 1760464812 NPPES
Oregon MEDICAID 286590

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