Nordal, James D
Nordal, James D is an sole proprietor health care provider with primary practice located at 114 W Palmer St , Cave Junction OR 97523-9667. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nordal, James D can be contacted via phone (541) 592-5099.Contact Information
Primary practice address
114 W Palmer St
Cave Junction OR 97523-9667
Phone: (541) 592-5099
Fax: (541) 592-4636
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD18527 | Oregon |
Profile Details
| NPI number | 1558347260 |
|---|---|
| LBN Legal business name | Nordal, James D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 15th, 2005 |
| Last updated | Apr 14th, 2016 - about 10 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 | 1558347260 | NPPES |
| Oregon | MEDICAID | 061726 |
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