David, Douglas R
David, Douglas R is an sole proprietor health care provider with primary practice located at 55 East 124Th Street , Ny NY 10035-1518. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. David, Douglas R can be contacted via phone (212) 410-8100.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 003074 | New York |
Profile Details
| NPI number | 1619129442 |
|---|---|
| LBN Legal business name | David, Douglas R |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2008 |
| Last updated | Oct 10th, 2008 - about 16 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 | 1619129442 | NPPES |
| New York | MEDICAID | 00692993 |
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