Madsen, Douglas L

Madsen, Douglas L is an individual health care provider with primary practice located at 4545 Cordata Pkwy , Bellingham WA 98226-7123. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Madsen, Douglas L can be contacted via phone (360) 738-2200.

Contact Information

Primary practice address
4545 Cordata Pkwy Bellingham WA 98226-7123
Phone: (360) 738-2200
Fax: (360) 752-5687
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD00022396 Washington
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X MD00022396 Washington

Profile Details

NPI number 1124082037
LBN Legal business name Madsen, Douglas L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Oct 4th, 2010 - about 14 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 1124082037 NPPES
Washington Other 0243325 L&I AND CRIME VICTIMS
Washington MEDICAID 1124082037 L&I AND CRIME VICTIMS
Washington Other 3516MA L&I AND CRIME VICTIMS
Washington Other 5883376 L&I AND CRIME VICTIMS

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