Despain, Douglas C
Despain, Douglas C is an individual health care provider with primary practice located at 311 W Lincoln St Ste 200 , Belleville IL 62220-1902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Despain, Douglas C can be contacted via phone (618) 234-2566.Contact Information
Primary practice address
311 W Lincoln St Ste 200
Belleville IL 62220-1902
Phone: (618) 234-2566
Fax: (618) 234-5650
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036-082846 | Illinois |
Profile Details
| NPI number | 1275525024 |
|---|---|
| LBN Legal business name | Despain, Douglas C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2005 |
| Last updated | Dec 16th, 2021 - about 3 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 | 1275525024 | NPPES |
| Other | 80037661 | RR MEDICARE | |
| Other | 176990 | RR MEDICARE | |
| Other | 569579688 | RR MEDICARE | |
| Other | 678480001 | RR MEDICARE | |
| Other | 5553294 | RR MEDICARE | |
| Other | 1062714 | RR MEDICARE | |
| Other | 128607 | RR MEDICARE | |
| Other | 166435 | RR MEDICARE |
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