Douglas, Frederick G
Douglas, Frederick G is an individual health care provider with primary practice located at 106 John Street , Easley SC 29640-1415. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Douglas, Frederick G can be contacted via phone (864) 859-2220.Contact Information
Primary practice address
106 John Street
Easley SC 29640-1415
Phone: (864) 859-2220
Fax: (864) 859-5744
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5691 | South Carolina |
Profile Details
| NPI number | 1922040955 |
|---|---|
| LBN Legal business name | Douglas, Frederick G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Feb 10th, 2010 - about 15 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 | 1922040955 | NPPES |
| South Carolina | Other | 582296052055 | BLUE CROSS |
| South Carolina | MEDICAID | 134768 | BLUE CROSS |
| South Carolina | MEDICAID | 056913 | BLUE CROSS |
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