Owen, Douglas Gerald

Owen, Douglas Gerald is an individual health care provider with primary practice located at 2704 Old Rosebud Rd , Lexington KY 40509-8627. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Owen, Douglas Gerald can be contacted via phone (859) 263-4361.

Contact Information

Primary practice address
2704 Old Rosebud Rd Lexington KY 40509-8627
Phone: (859) 263-4361
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 23349 Kentucky
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 23349 Kentucky

Profile Details

NPI number 1053313288
LBN Legal business name Owen, Douglas Gerald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Apr 14th, 2022 - about 3 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 1053313288 NPPES
Ohio MEDICAID 2806548
Ohio MEDICAID 174400000
Ohio MEDICAID 64233497

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