Douglas, Geoffrey
Douglas, Geoffrey is an individual health care provider with primary practice located at 1707 W Charleston Blvd Ste 160 , Las Vegas NV 89102-2354. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Douglas, Geoffrey can be contacted via phone (701) 671-5150.Contact Information
Primary practice address
1707 W Charleston Blvd Ste 160
Las Vegas NV 89102-2354
Phone: (701) 671-5150
Fax: (702) 384-6493
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD.32676 | Alabama |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 63460 | Wisconsin |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 16532 | Nevada |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | ME127855 | Florida |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 63460 | Wisconsin |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | A101528 | California |
Profile Details
| NPI number | 1346456399 |
|---|---|
| LBN Legal business name | Douglas, Geoffrey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2007 |
| Last updated | Feb 4th, 2022 - about 2 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 | 1346456399 | NPPES |
| Florida | MEDICAID | 113025700 |
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