Mcnabb, Earl Dean
Mcnabb, Earl Dean is an individual health care provider with primary practice located at 3625 River Rd N #275, Keizer OR 97303-5977. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Mcnabb, Earl Dean can be contacted via phone (503) 390-0959.Contact Information
Primary practice address
3625 River Rd N #275
Keizer OR 97303-5977
Phone: (503) 390-0959
Fax: (503) 390-1184
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | DP00344 | Oregon |
Profile Details
| NPI number | 1487614509 |
|---|---|
| LBN Legal business name | Mcnabb, Earl Dean |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Jan 16th, 2008 - about 18 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 | 1487614509 | NPPES |
| Oregon | Other | R133628 | MEDICARE KEIZER OFFICE |
| Oregon | Other | R118188 | MEDICARE KEIZER OFFICE |
| Oregon | MEDICAID | 182958 | MEDICARE KEIZER OFFICE |
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