Douglas, Samuel Lessley Ardis
Douglas, Samuel Lessley Ardis is an sole proprietor health care provider with primary practice located at 620 John Paul Jones Cir Bldg 2 2Nd Floor, Unit C, Portsmouth VA 23708-2111. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Other Service Providers / Military Health Care Provider. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Douglas, Samuel Lessley Ardis can be contacted via phone (757) 953-2465.Contact Information
Primary practice address
620 John Paul Jones Cir Bldg 2 2Nd Floor, Unit C
Portsmouth VA 23708-2111
Phone: (757) 953-2465
Fax: (757) 953-0845
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 34727 | Alabama |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 0101268393 | Virginia |
| Other Service Providers / Military Health Care Provider | 171000000X |
Profile Details
| NPI number | 1811308257 |
|---|---|
| LBN Legal business name | Douglas, Samuel Lessley Ardis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2014 |
| Last updated | Jan 17th, 2024 - about last year |
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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