Back, W Douglas
Back, W Douglas is an individual health care provider with primary practice located at 715 Shaker Drive Suite 120, Lexington KY 40504-3674. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Back, W Douglas can be contacted via phone (859) 278-8443.Contact Information
Primary practice address
715 Shaker Drive Suite 120
Lexington KY 40504-3674
Phone: (859) 278-8443
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 21381 | Kentucky |
Profile Details
| NPI number | 1396765251 |
|---|---|
| LBN Legal business name | Back, W Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | May 5th, 2008 - 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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