Douglas, Bernard Walter

Douglas, Bernard Walter is an individual health care provider with primary practice located at 16128 Davenport St , Omaha NE 68118-4046. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Douglas, Bernard Walter can be contacted via phone (402) 578-2645.

Contact Information

Primary practice address
16128 Davenport St Omaha NE 68118-4046
Phone: (402) 578-2645
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 17338 Nebraska

Profile Details

NPI number 1417062399
LBN Legal business name Douglas, Bernard Walter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Jan 14th, 2016 - about 9 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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