Hayden, Douglas

Hayden, Douglas is an individual health care provider with primary practice located at 914 S Scheuber Rd , Centralia WA 98531-9027. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Hayden, Douglas can be contacted via phone (360) 748-4444.

Contact Information

Primary practice address
914 S Scheuber Rd Centralia WA 98531-9027
Phone: (360) 748-4444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X MD00019959 Washington
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD00019959 Washington

Profile Details

NPI number 1902836588
LBN Legal business name Hayden, Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Dec 6th, 2011 - about 13 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 1902836588 NPPES
Washington MEDICAID 8333304

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