Joe, Douglas H

Joe, Douglas H is an individual health care provider with primary practice located at 1441 Florida Avenue , Modesto CA 95350. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Joe, Douglas H can be contacted via phone (209) 576-3609.

Contact Information

Primary practice address
1441 Florida Avenue Modesto CA 95350
Phone: (209) 576-3609
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G37674 California

Profile Details

NPI number 1205873429
LBN Legal business name Joe, Douglas H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Jan 25th, 2008 - about 16 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 1205873429 NPPES
California MEDICAID 00G376740

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