Pepin, Douglas W

Pepin, Douglas W is an individual health care provider with primary practice located at 1207 Fairchild Ct , Woodland CA 95695-4321. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Pepin, Douglas W can be contacted via phone (530) 666-1631.

Contact Information

Primary practice address
1207 Fairchild Ct Woodland CA 95695-4321
Fax: (530) 668-9571
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X G25387 California

Profile Details

NPI number 1609894971
LBN Legal business name Pepin, Douglas W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jul 9th, 2007 - about 17 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 1609894971 NPPES
California Other 00G253870 BLUE SHIELD
California Other P00090221 BLUE SHIELD
California MEDICAID 00G253870 BLUE SHIELD

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