Douglas, Leonard Walter
Douglas, Leonard Walter is an individual health care provider with primary practice located at 9237 University Blvd , N Charleston SC 29406-9189. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Douglas, Leonard Walter can be contacted via phone (843) 577-5011.Contact Information
Primary practice address
9237 University Blvd
N Charleston SC 29406-9189
Phone: (843) 577-5011
Fax: (843) 863-0398
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 11395 | South Carolina |
Profile Details
| NPI number | 1508835737 |
|---|---|
| LBN Legal business name | Douglas, Leonard Walter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Mar 20th, 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 | 1508835737 | NPPES |
| South Carolina | Other | AA50754950 | MEDICARE PTAN |
| South Carolina | MEDICAID | 113950 | MEDICARE PTAN |
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