Patel, Jitendra C
Patel, Jitendra C is an sole proprietor health care provider with primary practice located at 97825 Shopping Center Ave , Brookings OR 97415. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Patel, Jitendra C can be contacted via phone (541) 412-9800.Contact Information
Primary practice address
97825 Shopping Center Ave
Brookings OR 97415
Phone: (541) 412-9800
Fax: (541) 412-9600
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | MD15202 | Oregon |
Profile Details
| NPI number | 1588668230 |
|---|---|
| LBN Legal business name | Patel, Jitendra C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2005 |
| Last updated | Nov 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588668230 | NPPES |
| Oregon | MEDICAID | 151183 |
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