Macdougall, David Bruce
Macdougall, David Bruce is an individual health care provider with primary practice located at 224 Circle Dr , Traverse City MI 49684-2342. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Macdougall, David Bruce can be contacted via phone (231) 932-4855.Contact Information
Primary practice address
224 Circle Dr
Traverse City MI 49684-2342
Phone: (231) 932-4855
Fax: (231) 932-4850
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301042793 | Michigan |
Profile Details
| NPI number | 1659376416 |
|---|---|
| LBN Legal business name | Macdougall, David Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2005 |
| Last updated | Feb 24th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659376416 | NPPES |
| Michigan | MEDICAID | 4154023 |
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