Colgrove, Eric Earl
Colgrove, Eric Earl is an individual health care provider with primary practice located at 1650 Chambers St , Eugene OR 97402-3636. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Colgrove, Eric Earl can be contacted via phone (541) 338-7787.Contact Information
Primary practice address
1650 Chambers St
Eugene OR 97402-3636
Phone: (541) 338-7787
Fax: (541) 684-3077
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD161353 | Oregon |
Profile Details
| NPI number | 1881674869 |
|---|---|
| LBN Legal business name | Colgrove, Eric Earl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2006 |
| Last updated | Jan 30th, 2014 - about 12 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 | 1881674869 | NPPES |
| Oregon | MEDICAID | 286359 | |
| Oregon | Other | 1881674869 |
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