Akers, Douglas B.

Akers, Douglas B. is an sole proprietor health care provider with primary practice located at 716 Yellowstone Ave , Pocatello ID 83201-4407. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Akers, Douglas B. can be contacted via phone (208) 233-3660.

Contact Information

Primary practice address
716 Yellowstone Ave Pocatello ID 83201-4407
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X D1738PE Idaho

Profile Details

NPI number 1356351993
LBN Legal business name Akers, Douglas B.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2006
Last updated Jul 9th, 2007 - about 17 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 1356351993 NPPES
Idaho MEDICAID 0035491

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