Harley, Douglas Wayne
Harley, Douglas Wayne is an individual health care provider with primary practice located at 676 South Broadway Street Canal Physicians Group, Akron OH 44311-1059. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Harley, Douglas Wayne can be contacted via phone (330) 344-4000.Contact Information
Primary practice address
676 South Broadway Street Canal Physicians Group
Akron OH 44311-1059
Phone: (330) 344-4000
Fax: (330) 253-2349
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34008403 | Ohio |
Profile Details
| NPI number | 1376530519 |
|---|---|
| LBN Legal business name | Harley, Douglas Wayne |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2005 |
| Last updated | Jan 24th, 2013 - about 12 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 | 1376530519 | NPPES |
| Ohio | Other | 3600271 | CFM MEDICARE GROUP # |
| Ohio | Other | 0290886 | CFM MEDICARE GROUP # |
| Ohio | Other | 1548207111 | CFM MEDICARE GROUP # |
| Ohio | Other | 2551671 | CFM MEDICARE GROUP # |
| Ohio | Other | 9338635 | CFM MEDICARE GROUP # |
| Ohio | Other | 1821035940 | CFM MEDICARE GROUP # |
| Ohio | Other | 4177252 | CFM MEDICARE GROUP # |
| Ohio | Other | 1841239274 | CFM MEDICARE GROUP # |
| Ohio | MEDICAID | 2555739 | CFM MEDICARE GROUP # |
| Ohio | Other | 7402171 | CFM MEDICARE GROUP # |
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