Irwin, Douglas G

Irwin, Douglas G is an individual health care provider with primary practice located at 94 Marie Langdon Dr Suite 2, Manchester KY 40962-6353. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Irwin, Douglas G can be contacted via phone (606) 599-9955.

Contact Information

Primary practice address
94 Marie Langdon Dr Suite 2 Manchester KY 40962-6353
Phone: (606) 599-9955
Fax: (606) 599-9966
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 38637 Kentucky
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 38637 Kentucky

Profile Details

NPI number 1538115621
LBN Legal business name Irwin, Douglas G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated May 27th, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538115621 NPPES
Kentucky MEDICAID 64081466

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