Bachofner, Simon Thomas
Bachofner, Simon Thomas is an sole proprietor health care provider with primary practice located at 331 Calapooia St Sw Ste 101 , Albany OR 97321-2258. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Bachofner, Simon Thomas can be contacted via phone (541) 866-6988.Contact Information
Primary practice address
331 Calapooia St Sw Ste 101
Albany OR 97321-2258
Phone: (541) 866-6988
Fax: (541) 243-1800
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 202202206NP | Oregon |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 202202206NP | Oregon |
Profile Details
| NPI number | 1912654179 |
|---|---|
| LBN Legal business name | Bachofner, Simon Thomas |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2022 |
| Last updated | Oct 2nd, 2026 - about last month |
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 | 1912654179 | NPPES |
| Oregon | MEDICAID | 500809047 |
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