Anthony, Douglas C
Anthony, Douglas C is an individual health care provider with primary practice located at 593 Eddy St Apc Building, 12-106, Providence RI 02903-4923. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Neuropathology, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology is his primary health care specialty. Anthony, Douglas C can be contacted via phone (401) 444-5011.Contact Information
Primary practice address
593 Eddy St Apc Building, 12-106
Providence RI 02903-4923
Phone: (401) 444-5011
Fax: (401) 444-8514
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 2002000486 | Missouri |
| Allopathic & Osteopathic Physicians / Neuropathology | 207ZN0500X | 2002000486 | Missouri |
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 2002000486 | Missouri |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD13805 | Rhode Island |
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | MD13805 | Rhode Island |
Profile Details
| NPI number | 1558308270 |
|---|---|
| LBN Legal business name | Anthony, Douglas C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Nov 19th, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558308270 | NPPES |
| Missouri | Other | 127403 | BLUE CHOICE |
| Missouri | Other | 002577701 | BLUE CHOICE |
| Missouri | Other | 127403 | BLUE CHOICE |
| Missouri | MEDICAID | 205733702 | BLUE CHOICE |
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