Gottschalk, Douglas

Gottschalk, Douglas is an individual health care provider with primary practice located at 16230 Summerlin Rd Suite 215, Fort Myers FL 33908-5768. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, which is considered as his primary health care specialty. Gottschalk, Douglas can be contacted via phone (239) 343-6050.

Contact Information

Primary practice address
16230 Summerlin Rd Suite 215 Fort Myers FL 33908-5768
Phone: (239) 343-6050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X E-4158 Arkansas
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X OS11438 Florida
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X M8003 Texas

Profile Details

NPI number 1598724619
LBN Legal business name Gottschalk, Douglas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2006
Last updated Dec 14th, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598724619 NPPES
Florida MEDICAID 005834300
Florida MEDICAID 209200902

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