Jonathon Lex Park in Bandon - Family Medicine
Jonathon Lex Park - NPI 1588649289
Jonathon Lex Park is a Family Medicine in Bandon, Oregon. Jonathon Lex Park practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jonathon Lex Park is 1588649289. The last update date is 2013-10-09.
Jonathon Lex Park's current location address is 110 10th St Se, Bandon, Oregon. You can contact this provider via phone number 5413472313 and fax number 5413472015. The mailing address for Jonathon Lex Park is 110 10th St Se, Bandon, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathon Lex Park |
|---|---|
| Address | 110 10th St Se, Bandon, Oregon |
| Phone Number | 5413472313 |
| Fax Number | 5413472015 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1588649289 |
|---|---|
| Provider Enumeration Date | 2005-12-14 |
| Last Updated Date | 2013-10-09 |
Provider Mailing Address Detail
| Address | 110 10th St Se |
|---|---|
| City | Bandon |
| State | Oregon (OR) |
| Post Code | 974119157 |
| Phone Number | 5413472313 |
| Fax Number | 5413472015 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD23699 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| R0000WFBTV | OR | MEDICARE GROUP PIN NUMBER | |
| 1407812365 | OR | NBMC GROUP NPI NUMBER | |
| 93063551 | OR | GROUP TAX ID NUMBER | |
| CD8723 | OR | RR MEDICARE GROUP NUMBER | |
| 80182358 | OR | RR MEDICARE PTAN NUMBER | |
| 286887 | OR | -- |
Post Comment/ Review Below
What is the Jonathon Lex Park's 1588649289?
The Jonathon Lex Park's NPI (National Provider Identifier) Number is 1588649289. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Jonathon Lex Park is geographically located?
The Jonathon Lex Park is physically situated at the following location: 110 10Th St Se, Bandon, OR, 974119157.
What is the Jonathon Lex Park's specialty and taxonomy code?
The Jonathon Lex Park's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1588649289 to Jonathon Lex Park?
The Jonathon Lex Park received its 1588649289 assignment from the Centers for Medicare & Medicaid Services on 2005-12-14.
As of what date were the Jonathon Lex Park's details last updated?
The information pertaining to the Jonathon Lex Park, including its address, specialty, and other details, was most recently updated on 2013-10-09.
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