Duke, J. Douglas
Duke, J. Douglas is an individual health care provider with primary practice located at 2800 Ross Clark Cir Ste 2 , Dothan AL 36301-9917. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Duke, J. Douglas can be contacted via phone (334) 305-2085.Contact Information
Primary practice address
2800 Ross Clark Cir Ste 2
Dothan AL 36301-9917
Phone: (334) 305-2085
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DO.1390 | Alabama |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4365 | Oklahoma |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | E7290 | Arkansas |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | DO.1390 | Alabama |
Profile Details
| NPI number | 1134395072 |
|---|---|
| LBN Legal business name | Duke, J. Douglas |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 30th, 2008 |
| Last updated | Jun 24th, 2022 - about 2 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 | 1134395072 | NPPES |
| Oklahoma | MEDICAID | 200201300A | |
| Oklahoma | Other | DO.1390 |
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