Ditto, Dewayne Edwin
Ditto, Dewayne Edwin is an sole proprietor health care provider with primary practice located at 940 Country Club Rd , Eugene OR 97401-2208. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Ditto, Dewayne Edwin can be contacted via phone (541) 344-2600.Contact Information
Primary practice address
940 Country Club Rd
Eugene OR 97401-2208
Phone: (541) 344-2600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD07618 | Oregon |
Profile Details
| NPI number | 1457388480 |
|---|---|
| LBN Legal business name | Ditto, Dewayne Edwin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 26th, 2006 |
| Last updated | Nov 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457388480 | NPPES |
| Oregon | MEDICAID | 232595 |
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