Griffin, Douglas M

Griffin, Douglas M is an individual health care provider with primary practice located at 736 Broadway N , Fargo ND 58102-4421. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Griffin, Douglas M can be contacted via phone (701) 234-6160.

Contact Information

Primary practice address
736 Broadway N Fargo ND 58102-4421
Phone: (701) 234-6160
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 31087 Minnesota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 13899 North Dakota

Profile Details

NPI number 1700856911
LBN Legal business name Griffin, Douglas M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Nov 21st, 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 1700856911 NPPES
Minnesota Other 595969 AMERICA'S PPO
Minnesota Other A013 AMERICA'S PPO
Minnesota Other 0103802 AMERICA'S PPO
Minnesota MEDICAID 451595100 AMERICA'S PPO
Minnesota Other 114455D277 AMERICA'S PPO
Minnesota Other 01011082 AMERICA'S PPO
Minnesota Other HP21657 AMERICA'S PPO
Minnesota Other 53Q29GR AMERICA'S PPO

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