Bert, Jeffrey K

Bert, Jeffrey K is an individual health care provider with primary practice located at 2699 N 17Th St , Coos Bay OR 97420-2134. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Bert, Jeffrey K can be contacted via phone (541) 266-3600.

Contact Information

Primary practice address
2699 N 17Th St Coos Bay OR 97420-2134
Phone: (541) 266-3600
Fax: (541) 269-0708
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD09764 Oregon

Profile Details

NPI number 1871540252
LBN Legal business name Bert, Jeffrey K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Jul 6th, 2010 - about 15 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 1871540252 NPPES
Other C105001 PACIFIC SOURCE
MEDICAID 240218 PACIFIC SOURCE
Other 200025535 PACIFIC SOURCE
Other 050922009 PACIFIC SOURCE
Other 97420A010 PACIFIC SOURCE

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