Douglas, Ivor S

Douglas, Ivor S is an individual health care provider with primary practice located at 777 Bannock St Mc 7782, Denver CO 80204-4507. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Douglas, Ivor S can be contacted via phone (303) 436-6000.

Contact Information

Primary practice address
777 Bannock St Mc 7782 Denver CO 80204-4507
Phone: (303) 436-6000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 41063 Colorado
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 41063 Colorado

Profile Details

NPI number 1881617173
LBN Legal business name Douglas, Ivor S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Mar 2nd, 2021 - about 4 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 1881617173 NPPES
Colorado MEDICAID 16828534
Colorado Other P00128141

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