Kornbau, James Robert

Kornbau, James Robert is an sole proprietor health care provider with primary practice located at 160 S 2Nd St , Coos Bay OR 97420-1603. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Kornbau, James Robert can be contacted via phone (541) 266-9639.

Contact Information

Primary practice address
160 S 2Nd St Coos Bay OR 97420-1603
Phone: (541) 266-9639
Fax: (541) 266-9763
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 21488 Oregon

Profile Details

NPI number 1184844573
LBN Legal business name Kornbau, James Robert
Credentials M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2007
Last updated Jul 8th, 2007 - about 19 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 1184844573 NPPES
Oregon MEDICAID 126354

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