Mcdonald, Douglas
Mcdonald, Douglas is an individual health care provider with primary practice located at 15670 Redmond Way , Redmond WA 98052-3831. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mcdonald, Douglas can be contacted via phone (206) 320-5190.Contact Information
Primary practice address
15670 Redmond Way
Redmond WA 98052-3831
Phone: (206) 320-5190
Fax: (206) 320-5191
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 22624 | Washington |
Profile Details
| NPI number | 1366426249 |
|---|---|
| LBN Legal business name | Mcdonald, Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 3rd, 2005 |
| Last updated | Oct 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366426249 | NPPES |
| Washington | MEDICAID | 1006675 | |
| Washington | Other | 104494 |
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