Quackenbush, Robert C

Quackenbush, Robert C is an individual health care provider with primary practice located at 401 W Poplar St , Walla Walla WA 99362-2846. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Quackenbush, Robert C can be contacted via phone (509) 522-5700.

Contact Information

Primary practice address
401 W Poplar St Walla Walla WA 99362-2846
Phone: (509) 522-5700
Fax: (509) 522-5705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD00039975 Washington
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X MD00039975 Washington

Profile Details

NPI number 1962458877
LBN Legal business name Quackenbush, Robert C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Jun 26th, 2013 - about 12 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 1962458877 NPPES
Washington Other P00057996 RRMC
Washington MEDICAID 227516 RRMC
Washington MEDICAID 8060599 RRMC
Washington MEDICAID 1118421 RRMC

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