Beckner, Daniel R
Beckner, Daniel R is an sole proprietor health care provider with primary practice located at 10709 S Walton Rd , Island City OR 97850-8490. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Beckner, Daniel R can be contacted via phone (541) 962-7753.Contact Information
Primary practice address
10709 S Walton Rd
Island City OR 97850-8490
Phone: (541) 962-7753
Fax: (541) 963-0750
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3035AT | Oregon |
Profile Details
| NPI number | 1205804275 |
|---|---|
| LBN Legal business name | Beckner, Daniel R |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Sep 13th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205804275 | NPPES |
| Oregon | MEDICAID | 122908 | |
| Oregon | Other | 4821750001 |
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