Burnside-Mcelligott, Laura Jean

Burnside-Mcelligott, Laura Jean is an sole proprietor health care provider with primary practice located at 1890 Waite St Ste 1, North Bend OR 97459-1229. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Burnside-Mcelligott, Laura Jean can be contacted via phone (541) 756-6232.

Contact Information

Primary practice address
1890 Waite St Ste 1 North Bend OR 97459-1229
Phone: (541) 756-6232
Fax: (541) 756-6234
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 081046951RN Oregon
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 200850064NP FNP-PP Oregon

Profile Details

NPI number 1477718419
LBN Legal business name Burnside-Mcelligott, Laura Jean
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2008
Last updated Jun 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477718419 NPPES
Oregon MEDICAID 213342
Oregon MEDICAID 500617181
Oregon Other R163722

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