Mellinger, Douglas Neal

Mellinger, Douglas Neal is an individual health care provider with primary practice located at 1200 6Th Ave N , Saint Cloud MN 56303-2736. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Mellinger, Douglas Neal can be contacted via phone (320) 656-7020.

Contact Information

Primary practice address
1200 6Th Ave N Saint Cloud MN 56303-2736
Phone: (320) 656-7020
Fax: (320) 255-5943
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 68816 Minnesota
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 20A8396 California

Profile Details

NPI number 1124131073
LBN Legal business name Mellinger, Douglas Neal
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Mar 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124131073 NPPES
California MEDICAID 00AX83960

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