Cifuentes, Douglas I

Cifuentes, Douglas I is an individual health care provider with primary practice located at 1103 Village Square Dr Ste 100, Perrysburg OH 43551-1762. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Cifuentes, Douglas I can be contacted via phone (419) 872-3213.

Contact Information

Primary practice address
1103 Village Square Dr Ste 100 Perrysburg OH 43551-1762
Phone: (419) 872-3213
Fax: (419) 872-9549
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 34-00-7147-C Ohio
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 02005184A Indiana

Profile Details

NPI number 1689677544
LBN Legal business name Cifuentes, Douglas I
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Oct 30th, 2017 - about 7 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 1689677544 NPPES
Ohio MEDICAID 2131722

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