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
Phone: (812) 375-0000
Fax: (812) 375-0711
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497733109 | NPPES |
| Indiana | Other | 000000321795 | BLUE CROSS BLUE SHIELD |
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