Pepple, Douglas

Pepple, Douglas is an individual health care provider with primary practice located at 8910 Vernon Rd , Lake Stevens WA 98258-2400. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Pepple, Douglas can be contacted via phone (425) 335-5145.

Contact Information

Primary practice address
8910 Vernon Rd Lake Stevens WA 98258-2400
Phone: (425) 335-5145
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD60299796 Washington
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X MD60299796 Washington

Profile Details

NPI number 1669646543
LBN Legal business name Pepple, Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2008
Last updated Jun 9th, 2015 - about 10 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 1669646543 NPPES
Washington MEDICAID 2021776

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