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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346456399 NPPES
Florida MEDICAID 113025700

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