Comeau, Douglas W
Comeau, Douglas W is an individual health care provider with primary practice located at 850 Harrison Ave Yacc 5, Boston MA 02118-4001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Comeau, Douglas W can be contacted via phone (617) 414-2080.Contact Information
Primary practice address
850 Harrison Ave Yacc 5
Boston MA 02118-4001
Phone: (617) 414-2080
Fax: (617) 414-2090
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 231599 | Massachusetts |
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 231599 | Massachusetts |
Profile Details
NPI number | 1346382835 |
---|---|
LBN Legal business name | Comeau, Douglas W |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 13th, 2007 |
Last updated | Dec 8th, 2016 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1346382835 | NPPES |
Massachusetts | MEDICAID | 110075755A |
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