Barthelemy, Douge

Barthelemy, Douge is an individual health care provider with primary practice located at 720 W 5Th Ave Gary, Gary IN 46402-1808. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Barthelemy, Douge can be contacted via phone (219) 882-0262.

Contact Information

Primary practice address
720 W 5Th Ave Gary Gary IN 46402-1808
Phone: (219) 882-0262
Fax: (219) 882-0515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1942313366
LBN Legal business name Barthelemy, Douge
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Nov 25th, 2020 - about 5 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 1942313366 NPPES
Indiana MEDICAID 100160510
Indiana MEDICAID 200505380
Indiana Other 000000082703

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