Fosselman, Douglas D
Fosselman, Douglas D is an sole proprietor health care provider with primary practice located at 555 W Schrock Rd Suite 110, Westerville OH 43081-8702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Fosselman, Douglas D can be contacted via phone (614) 882-0708.Contact Information
Primary practice address
555 W Schrock Rd Suite 110
Westerville OH 43081-8702
Phone: (614) 882-0708
Fax: (614) 882-2878
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35-04-9664 | Ohio |
Profile Details
| NPI number | 1679556229 |
|---|---|
| LBN Legal business name | Fosselman, Douglas D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 28th, 2005 |
| Last updated | Mar 15th, 2011 - about 13 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 | 1679556229 | NPPES |
| Ohio | MEDICAID | 0605090 |
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