Bishop, Brandon Wallace

Bishop, Brandon Wallace is an individual health care provider with primary practice located at 2460 Nw Stewart Pkwy Ste. 100, Roseburg OR 97471-1516. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Bishop, Brandon Wallace can be contacted via phone (541) 229-2663.

Contact Information

Primary practice address
2460 Nw Stewart Pkwy Ste. 100 Roseburg OR 97471-1516
Phone: (541) 229-2663
Fax: (541) 229-0213
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X DP177099 Oregon

Profile Details

NPI number 1427283464
LBN Legal business name Bishop, Brandon Wallace
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2009
Last updated Apr 20th, 2017 - about 9 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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