Fugate, Douglas S
Fugate, Douglas S is an individual health care provider with primary practice located at 720 W Mahoning St Suite 200, Punxsutawney PA 15767-1308. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Fugate, Douglas S can be contacted via phone (814) 938-0740.Contact Information
Primary practice address
720 W Mahoning St Suite 200
Punxsutawney PA 15767-1308
Phone: (814) 938-0740
Fax: (814) 938-0750
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | MD034740E | Pennsylvania |
Profile Details
| NPI number | 1871553552 |
|---|---|
| LBN Legal business name | Fugate, Douglas S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 25th, 2006 |
| Last updated | Apr 25th, 2016 - about 9 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 | 1871553552 | NPPES |
| Pennsylvania | Other | CI1160 | RAILROAD MEDICARE |
| Pennsylvania | MEDICAID | 0014272070003 | RAILROAD MEDICARE |
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