Squiemphen, Emerson George

Squiemphen, Emerson George is an individual health care provider with primary practice located at 1270 Kotnum Road , Warm Springs OR 97761. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Squiemphen, Emerson George can be contacted via phone (541) 553-1196.

Contact Information

Primary practice address
1270 Kotnum Road Warm Springs OR 97761
Phone: (541) 553-1196
Fax: (541) 553-2135
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X

Profile Details

NPI number 1861690729
LBN Legal business name Squiemphen, Emerson George
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2007
Last updated Jul 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861690729 NPPES
Oregon MEDICAID 273855

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