NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

ELIZABETH D THAANUM
42 HAWTHORNE ST
MEDFORD, OR97504-7114
 Phone: 541-776-3461
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Audiologist-Hearing Aid Fitter

237600000X
Indicates primary specialty

NPI Profile & details for ELIZABETH D THAANUM · (Female)

NPI Number 1285625988
Credentials
Entity Individual
Enumeration date 11/02/2005
Last updated 07/09/2007 - About 9 years ago
Sole proprietor 1 No
Identifiers
OR License # 22174
OR Medicaid 226610
OR Medicare PIN 132376
OR Other 858535002 BCBS OF OREGON PROV. #
OR Other J133302 PACIFICSOURCE PIN NUMBER
OR Other 408242302 PREF. CHOICE 65 PROV. #
OR Other 002387312-002 UNITEDHEALTHCARE PROV. #
Hospital affiliation(s) n/a
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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