Fleck, Douglas Carlisle
Fleck, Douglas Carlisle is an individual health care provider with primary practice located at 3315 N Ridge Rd E Ste 100 , Ashtabula OH 44004-4347. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Fleck, Douglas Carlisle can be contacted via phone (440) 964-8387.Contact Information
Primary practice address
3315 N Ridge Rd E Ste 100
Ashtabula OH 44004-4347
Phone: (440) 964-8387
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35085846 | Ohio |
Profile Details
| NPI number | 1124081427 |
|---|---|
| LBN Legal business name | Fleck, Douglas Carlisle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 8th, 2006 |
| Last updated | Mar 17th, 2018 - about 8 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 | 1124081427 | NPPES |
| Ohio | MEDICAID | 2578492 |
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