Fujawa, Douglas

Fujawa, Douglas is an individual health care provider with primary practice located at 3123 W 23Rd St , Panama City FL 32405-1828. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Fujawa, Douglas can be contacted via phone (850) 481-1969.

Contact Information

Primary practice address
3123 W 23Rd St Panama City FL 32405-1828
Phone: (850) 481-1969
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2901021229 Michigan
Dental Providers / Pediatric Dentistry 1223P0221X DN23156 Florida

Profile Details

NPI number 1336541135
LBN Legal business name Fujawa, Douglas
Credentials DDS, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2014
Last updated Apr 19th, 2018 - about 6 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 1336541135 NPPES
Florida MEDICAID 023778300

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