Hecox, Kerri Ann
Hecox, Kerri Ann is an individual health care provider with primary practice located at 1025 E Main St Ste 108 , Medford OR 97504-7448. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hecox, Kerri Ann can be contacted via phone (541) 618-1380.Contact Information
Primary practice address
1025 E Main St Ste 108
Medford OR 97504-7448
Phone: (541) 618-1380
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD26021 | Oregon |
Profile Details
| NPI number | 1912960477 |
|---|---|
| LBN Legal business name | Hecox, Kerri Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2006 |
| Last updated | Jun 19th, 2019 - about 7 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 | 1912960477 | NPPES |
| Oregon | MEDICAID | 022868 | |
| Oregon | Other | 943096772 |
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