Chisholm, Dougal

Chisholm, Dougal is an individual health care provider with primary practice located at 8910 Vernon Rd , Lake Stevens WA 98258-2400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Chisholm, Dougal can be contacted via phone (425) 357-3305.

Contact Information

Primary practice address
8910 Vernon Rd Lake Stevens WA 98258-2400
Phone: (425) 357-3305
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 31860 Washington

Profile Details

NPI number 1396713350
LBN Legal business name Chisholm, Dougal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated May 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396713350 NPPES
Washington MEDICAID 1009348
Washington MEDICAID 2042836

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