Jicha, Douglas L
Jicha, Douglas L is an individual health care provider with primary practice located at 306 Us Route 1 Bldg C, Scarborough ME 04074. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Jicha, Douglas L can be contacted via phone (207) 885-5742.Contact Information
Primary practice address
306 Us Route 1 Bldg C
Scarborough ME 04074
Phone: (207) 885-5742
Fax: (207) 885-1494
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 006810 | Maine |
Profile Details
| NPI number | 1306879325 |
|---|---|
| LBN Legal business name | Jicha, Douglas L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Nov 3rd, 2021 - about 3 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 | 1306879325 | NPPES |
| Maine | MEDICAID | 132540000 |
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