Ross, Charles S.

Ross, Charles S. is an individual health care provider with primary practice located at 2570 Nw Edenbower Blvd Suite 100, Roseburg OR 97471. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Ross, Charles S. can be contacted via phone (541) 957-1111.

Contact Information

Primary practice address
2570 Nw Edenbower Blvd Suite 100 Roseburg OR 97471
Phone: (541) 957-1111
Fax: (541) 957-5705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X DO10012 Oregon

Profile Details

NPI number 1740275932
LBN Legal business name Ross, Charles S.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Mar 8th, 2010 - about 16 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 1740275932 NPPES
Oregon MEDICAID 168395
Oregon Other R103163
Oregon Other 000188024
Oregon MEDICAID 165878

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