Hallgren, Douglas H

Hallgren, Douglas H is an individual health care provider with primary practice located at 22325 Greenview Pkwy , Great Mills MD 20634-3491. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Hallgren, Douglas H can be contacted via phone (301) 862-3338.

Contact Information

Primary practice address
22325 Greenview Pkwy Great Mills MD 20634-3491
Phone: (301) 862-3338
Fax: (301) 862-3335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 213ES0103X Maryland

Profile Details

NPI number 1336158955
LBN Legal business name Hallgren, Douglas H
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Jul 22nd, 2010 - about 15 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 1336158955 NPPES
Maryland Other 00975 MD LICENSE
Maryland MEDICAID 483808400 MD LICENSE

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