Holsclaw, Douglas Stanley

Holsclaw, Douglas Stanley is an sole proprietor health care provider with primary practice located at 42 Llanberris Rd , Bala Cynwyd PA 19004-2403. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Holsclaw, Douglas Stanley can be contacted via phone (610) 664-3712.

Contact Information

Primary practice address
42 Llanberris Rd Bala Cynwyd PA 19004-2403
Phone: (610) 664-3712
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD012316E Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X MD012316E Pennsylvania

Profile Details

NPI number 1629037437
LBN Legal business name Holsclaw, Douglas Stanley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2006
Last updated Sep 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629037437 NPPES
Pennsylvania Other 099759 BLUE SHIELD
Pennsylvania MEDICAID 0006732510013 BLUE SHIELD

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