Hendricks, Douglas L

Hendricks, Douglas L is an sole proprietor health care provider with primary practice located at 280 Newport Center Dr Suite 120, Newport Beach CA 92660-7526. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Hendricks, Douglas L can be contacted via phone (949) 640-9570.

Contact Information

Primary practice address
280 Newport Center Dr Suite 120 Newport Beach CA 92660-7526
Phone: (949) 640-9570
Fax: (949) 640-9569
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery of the Hand 2082S0105X G069421 California
Allopathic & Osteopathic Physicians / Surgery 208600000X 036151135 Illinois
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X G069421 California

Profile Details

NPI number 1922165703
LBN Legal business name Hendricks, Douglas L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2007
Last updated Aug 31st, 2020 - about 4 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 1922165703 NPPES
Wisconsin MEDICAID 1922165703
Wisconsin MEDICAID 036151135

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