Douglas, Stephen Kirk

Douglas, Stephen Kirk is an individual health care provider with primary practice located at 2675 Foxpointe Drive Suite B, Columbus IN 47203. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Douglas, Stephen Kirk can be contacted via phone (812) 375-0000.

Contact Information

Primary practice address
2675 Foxpointe Drive Suite B Columbus IN 47203
Fax: (812) 375-0711
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 71001649A Indiana

Profile Details

NPI number 1497733109
LBN Legal business name Douglas, Stephen Kirk
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Jan 28th, 2016 - about 9 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 1497733109 NPPES
Indiana Other 000000321795 BLUE CROSS BLUE SHIELD

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