Douglas, Gary

Douglas, Gary is an individual health care provider with primary practice located at 1026 Union Rd , West Seneca NY 14224-3449. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Douglas, Gary can be contacted via phone (716) 712-0858.

Contact Information

Primary practice address
1026 Union Rd West Seneca NY 14224-3449
Phone: (716) 712-0858
Fax: (716) 712-0859
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 198135 New York

Profile Details

NPI number 1922096668
LBN Legal business name Douglas, Gary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Jul 8th, 2007 - about 17 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 1922096668 NPPES
New York Other 000523560007 BC/BS
New York Other 040426002829 BC/BS
New York Other 148117FL BC/BS
New York Other 00010047904 BC/BS
New York MEDICAID 01545188 BC/BS
New York Other 1709798 BC/BS

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