Fish, Douglas Grant
Fish, Douglas Grant is an individual health care provider with primary practice located at 66 Hackett Blvd , Albany NY 12209-1750. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Fish, Douglas Grant can be contacted via phone (518) 262-4439.Contact Information
Primary practice address
66 Hackett Blvd
Albany NY 12209-1750
Phone: (518) 262-4439
Fax: (518) 262-8460
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 194867 | New York |
Profile Details
| NPI number | 1013909167 |
|---|---|
| LBN Legal business name | Fish, Douglas Grant |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1013909167 | NPPES |
| New York | MEDICAID | 01453007 |
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