Amis, Douglas Edward
Amis, Douglas Edward is an individual health care provider with primary practice located at 240 S Main St , Wolfeboro NH 03894-4411. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Amis, Douglas Edward can be contacted via phone (603) 569-7500.Contact Information
Primary practice address
240 S Main St
Wolfeboro NH 03894-4411
Phone: (603) 569-7500
Fax: (603) 515-2031
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2211 | Alaska |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2684 | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1031 | New Hampshire |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 10381 | Georgia |
Profile Details
| NPI number | 1992956353 |
|---|---|
| LBN Legal business name | Amis, Douglas Edward |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2008 |
| Last updated | Nov 2nd, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992956353 | NPPES |
| Colorado | Other | 021137 | KAISER COMMERCIAL NUMBER |
| Colorado | MEDICAID | 66500753 | KAISER COMMERCIAL NUMBER |
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