Lax, Douglas
Lax, Douglas is an individual health care provider with primary practice located at 242 Merrick Rd Suite 304, Rockville Centre NY 11570-5254. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Lax, Douglas can be contacted via phone (516) 764-7070.Contact Information
Primary practice address
242 Merrick Rd Suite 304
Rockville Centre NY 11570-5254
Phone: (516) 764-7070
Fax: (516) 764-7073
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 158526 | New York |
Profile Details
| NPI number | 1093790800 |
|---|---|
| LBN Legal business name | Lax, Douglas |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2005 |
| Last updated | Oct 30th, 2009 - about 15 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 | 1093790800 | NPPES |
| New York | MEDICAID | 01085592 |
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