Douglas, Gregory Edward
Douglas, Gregory Edward is an sole proprietor health care provider with primary practice located at 9281 Office Park Cir 120, Elk Grove CA 95758-8068. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Douglas, Gregory Edward can be contacted via phone (916) 896-1650.Contact Information
Primary practice address
9281 Office Park Cir 120
Elk Grove CA 95758-8068
Phone: (916) 896-1650
Fax: (916) 896-1959
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | C39164 | California |
Profile Details
| NPI number | 1194799650 |
|---|---|
| LBN Legal business name | Douglas, Gregory Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Aug 7th, 2013 - about 12 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 | 1194799650 | NPPES |
| California | MEDICAID | 00C391640 | |
| California | MEDICAID | 00C391641 |
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