Homnick, Douglas
Homnick, Douglas is an individual health care provider with primary practice located at 3299 Gull Rd , Kalamazoo MI 49048-1281. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as his primary health care specialty. Homnick, Douglas can be contacted via phone (269) 373-5259.Contact Information
Primary practice address
3299 Gull Rd
Kalamazoo MI 49048-1281
Phone: (269) 373-5259
Fax: (269) 373-5292
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | 4301049780 | Michigan |
Profile Details
| NPI number | 1942279815 |
|---|---|
| LBN Legal business name | Homnick, Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Aug 4th, 2016 - about 9 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 | 1942279815 | NPPES |
| Michigan | MEDICAID | 1942279815 | |
| Michigan | MEDICAID | 4200108 | |
| Michigan | Other | 3513924451 |
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