Deprofio, Douglas J

Deprofio, Douglas J is an individual health care provider with primary practice located at 931 Chatham Ln , Columbus OH 43221-2417. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Deprofio, Douglas J can be contacted via phone (614) 533-5500.

Contact Information

Primary practice address
931 Chatham Ln Columbus OH 43221-2417
Phone: (614) 533-5500
Fax: (614) 533-5593
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 50-001909 Ohio

Profile Details

NPI number 1871587071
LBN Legal business name Deprofio, Douglas J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2005
Last updated Jan 25th, 2022 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1871587071 NPPES
Ohio MEDICAID 0068078

Popular Providers