Sobotka, Jon Duane

Sobotka, Jon Duane is an individual health care provider with primary practice located at 530 Nw 27Th St Benton County Health Department, Corvallis OR 97330-5223. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Sobotka, Jon Duane can be contacted via phone (541) 766-6835.

Contact Information

Primary practice address
530 Nw 27Th St Benton County Health Department Corvallis OR 97330-5223
Phone: (541) 766-6835
Fax: (541) 766-6186
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD 15522 Oregon

Profile Details

NPI number 1356326516
LBN Legal business name Sobotka, Jon Duane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Jan 18th, 2012 - about 14 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 1356326516 NPPES
Oregon MEDICAID 023192

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