Dothager, Douglas

Dothager, Douglas is an individual health care provider with primary practice located at 4600 Memorial Dr Ste 200 , Belleville IL 62226-5363. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Dothager, Douglas can be contacted via phone (618) 233-2220.

Contact Information

Primary practice address
4600 Memorial Dr Ste 200 Belleville IL 62226-5363
Fax: (618) 233-2555
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036091795 Illinois

Profile Details

NPI number 1871599738
LBN Legal business name Dothager, Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Mar 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871599738 NPPES
Illinois MEDICAID 036091795

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