Dero, Douglas P

Dero, Douglas P is an individual health care provider with primary practice located at 2003 Kootenai Health Way , Coeur D Alene ID 83814-6051. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Dero, Douglas P can be contacted via phone (208) 666-2000.

Contact Information

Primary practice address
2003 Kootenai Health Way Coeur D Alene ID 83814-6051
Phone: (208) 666-2000
Fax: (208) 666-3963
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 042 Idaho

Profile Details

NPI number 1760475081
LBN Legal business name Dero, Douglas P
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Feb 23rd, 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 1760475081 NPPES
Idaho Other S5312 BLUE CROSS
Idaho MEDICAID 004000800 BLUE CROSS

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