Quave, Brett T
Quave, Brett T is an individual health care provider with primary practice located at 701 Golf View Dr , Medford OR 97504-9643. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Quave, Brett T can be contacted via phone (541) 494-1111.Contact Information
Primary practice address
701 Golf View Dr
Medford OR 97504-9643
Phone: (541) 494-1111
Fax: (541) 494-1099
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | A75659 | California |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | MD00048162 | Washington |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | MD157375 | Oregon |
Profile Details
| NPI number | 1013911361 |
|---|---|
| LBN Legal business name | Quave, Brett T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Oct 29th, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013911361 | NPPES |
| Washington | MEDICAID | 8488843 | |
| Washington | Other | 500647357 |
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