Paulk, Douglas Gordon
Paulk, Douglas Gordon is an individual health care provider with primary practice located at 17375 Hall Rd , Macomb Township MI 48044-4060. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Paulk, Douglas Gordon can be contacted via phone (586) 228-0550.Contact Information
Primary practice address
17375 Hall Rd
Macomb Township MI 48044-4060
Phone: (586) 228-0550
Fax: (586) 228-8125
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 5101007995 | Michigan |
Profile Details
| NPI number | 1750372405 |
|---|---|
| LBN Legal business name | Paulk, Douglas Gordon |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Jan 15th, 2015 - about 9 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 | 1750372405 | NPPES |
| Michigan | MEDICAID | 1886068 |
Popular Providers
-
Lopez, Peter P
43331 Commons Dr , Clinton Township MI 48038-1109 -
Reed, Travis
36500 S Gratiot Ave Ste 102 , Clinton Township MI 48035-1772 -
Hanks, Roy Eugene
17375 Hall Rd , Macomb Township MI 48044-4060 -
Dalla Vecchia, Laura Kathleen
43331 Commons Dr , Clinton Township MI 48038-1109 -
Mok, Charles D
8180 26 Mile Rd Suite 300, Shelby Township MI 48316-5129 -
Noorily, Michael J
43331 Commons Dr , Clinton Township MI 48038-1109 -
Lim, John J
43331 Commons Dr , Clinton Township MI 48038-1109 -
Legalley, Catherine
1 William Carls Dr , Commerce Township MI 48382-2201