Douglass, Laura

Douglass, Laura is an individual health care provider with primary practice located at 3509 N Broad St , Philadelphia PA 19140-4105. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Douglass, Laura can be contacted via phone (215) 707-3375.

Contact Information

Primary practice address
3509 N Broad St Philadelphia PA 19140-4105
Fax: (215) 707-4758
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD466826 Pennsylvania

Profile Details

NPI number 1902148596
LBN Legal business name Douglass, Laura
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2013
Last updated May 30th, 2019 - about 5 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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