Lick, David Douglas

Lick, David Douglas is an individual health care provider with primary practice located at 44250 Dequindre Rd , Sterling Heights MI 48314-1002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lick, David Douglas can be contacted via phone (248) 964-0400.

Contact Information

Primary practice address
44250 Dequindre Rd Sterling Heights MI 48314-1002
Phone: (248) 964-0400
Fax: (248) 964-0401
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301076522 Fm

Profile Details

NPI number 1962478974
LBN Legal business name Lick, David Douglas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Oct 23rd, 2020 - about 4 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 1962478974 NPPES
Michigan Other 080F370780 BCBSM
Michigan MEDICAID 4537534 BCBSM

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