Theen, James William

Theen, James William is an individual health care provider with primary practice located at 555 Black Oak Dr , Medford OR 97504-8447. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Theen, James William can be contacted via phone (541) 734-3430.

Contact Information

Primary practice address
555 Black Oak Dr Medford OR 97504-8447
Phone: (541) 734-3430
Fax: (541) 734-3638
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X MD16267 Oregon

Profile Details

NPI number 1205863990
LBN Legal business name Theen, James William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Jul 19th, 2017 - about 9 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 1205863990 NPPES
Oregon MEDICAID 081430

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