Holmes, Douglas L

Holmes, Douglas L is an individual health care provider with primary practice located at 307 S Jackson St , Casper WY 82601-2908. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Holmes, Douglas L can be contacted via phone (307) 237-3937.

Contact Information

Primary practice address
307 S Jackson St Casper WY 82601-2908
Phone: (307) 237-3937
Fax: (307) 237-0670
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 30384 Colorado
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 8868A Wyoming

Profile Details

NPI number 1073565487
LBN Legal business name Holmes, Douglas L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Nov 7th, 2019 - about 5 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 1073565487 NPPES
Colorado MEDICAID 01303841

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