Brinckerhoff, Tatiana Zupekan
Brinckerhoff, Tatiana Zupekan is an individual health care provider with primary practice located at 777 Nw 9Th St Ste 320 , Corvallis OR 97330-6169. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Brinckerhoff, Tatiana Zupekan can be contacted via phone (541) 768-4900.Contact Information
Primary practice address
777 Nw 9Th St Ste 320
Corvallis OR 97330-6169
Phone: (541) 768-4900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 69696 | Wisconsin |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD211003 | Oregon |
Profile Details
| NPI number | 1578950291 |
|---|---|
| LBN Legal business name | Brinckerhoff, Tatiana Zupekan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2015 |
| Last updated | Nov 14th, 2022 - about 4 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 | 1578950291 | NPPES |
| Wisconsin | MEDICAID | 100080735 |
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