Congdon, Douglas David

Congdon, Douglas David is an individual health care provider with primary practice located at 1 Hurley Plz , Flint MI 48503-5902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Congdon, Douglas David can be contacted via phone (810) 262-9134.

Contact Information

Primary practice address
1 Hurley Plz Flint MI 48503-5902
Phone: (810) 262-9134
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 5101009572 Michigan

Profile Details

NPI number 1750499893
LBN Legal business name Congdon, Douglas David
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Jul 16th, 2013 - about 11 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 1750499893 NPPES
Michigan Other 1001298 MCLAREN HEALTH ADVANTAGE
Michigan Other 2747668 MCLAREN HEALTH ADVANTAGE
Michigan Other 4553 MCLAREN HEALTH ADVANTAGE
Michigan Other 1001298 MCLAREN HEALTH ADVANTAGE
Michigan MEDICAID 2747668 MCLAREN HEALTH ADVANTAGE
Michigan Other 220007715 MCLAREN HEALTH ADVANTAGE

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