Egbert, Jonathan Brad
Egbert, Jonathan Brad is an sole proprietor health care provider with primary practice located at 2570 Nw Edenbower Blvd Ste 100 , Roseburg OR 97471-6214. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Egbert, Jonathan Brad can be contacted via phone (541) 677-7200.Contact Information
Primary practice address
2570 Nw Edenbower Blvd Ste 100
Roseburg OR 97471-6214
Phone: (541) 677-7200
Fax: (541) 229-3309
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CHIA1449 | Idaho |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 098-T2 | Wyoming |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD193108 | Oregon |
Profile Details
| NPI number | 1972801397 |
|---|---|
| LBN Legal business name | Egbert, Jonathan Brad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 9th, 2011 |
| Last updated | Apr 25th, 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.
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