Von Brockdorff, Heidi
Von Brockdorff, Heidi is an sole proprietor health care provider with primary practice located at 1400 Executive Pkwy Ste 245 , Eugene OR 97401-2197. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Von Brockdorff, Heidi can be contacted via phone (970) 250-0940.Contact Information
Primary practice address
1400 Executive Pkwy Ste 245
Eugene OR 97401-2197
Phone: (970) 250-0940
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | 1144 | Colorado |
Profile Details
| NPI number | 1679535272 |
|---|---|
| LBN Legal business name | Von Brockdorff, Heidi |
| Credentials | DIPL.OM, L.AC. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Nov 14th, 2018 - about 6 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 | 1679535272 | NPPES |
| Oregon | Other | AC156947 | STATE MEDICAL LICENSE |
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