Claybrook, Douglas E

Claybrook, Douglas E is an individual health care provider with primary practice located at 221 S 6Th St , Terre Haute IN 47807-4214. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Claybrook, Douglas E can be contacted via phone (812) 242-3130.

Contact Information

Primary practice address
221 S 6Th St Terre Haute IN 47807-4214
Phone: (812) 242-3130
Fax: (812) 242-3596
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 01029167A Indiana
Allopathic & Osteopathic Physicians / Urology 208800000X 36089198 Illinois

Profile Details

NPI number 1932216231
LBN Legal business name Claybrook, Douglas E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Aug 18th, 2010 - about 14 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 1932216231 NPPES
Indiana MEDICAID 100250650
Indiana Other 000000089642
Indiana Other 340009236
Indiana Other 340009242
Indiana Other P00828496
Indiana MEDICAID 100250650U

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