Friesen, Douglas Lynn

Friesen, Douglas Lynn is an individual health care provider with primary practice located at 2708 S Rife Medical Ln Ste T40 , Rogers AR 72758-1474. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Friesen, Douglas Lynn can be contacted via phone (479) 878-2550.

Contact Information

Primary practice address
2708 S Rife Medical Ln Ste T40 Rogers AR 72758-1474
Fax: (479) 878-2555
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X N8205 Arkansas

Profile Details

NPI number 1962460519
LBN Legal business name Friesen, Douglas Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jul 30th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962460519 NPPES
Arkansas MEDICAID 121430001

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