Presta, Douglas Darren
Presta, Douglas Darren is an sole proprietor health care provider with primary practice located at 4361 Talbot Rd S Suite 101, Renton WA 98055-6226. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Presta, Douglas Darren can be contacted via phone (425) 336-4442.Contact Information
Primary practice address
4361 Talbot Rd S Suite 101
Renton WA 98055-6226
Phone: (425) 336-4442
Fax: (425) 271-1368
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 0196005 | Washington |
| Podiatric Medicine & Surgery Service Providers / Sports Medicine | 213ES0000X | 0196005 | Washington |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 0196005 | Washington |
Profile Details
| NPI number | 1669463519 |
|---|---|
| LBN Legal business name | Presta, Douglas Darren |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669463519 | NPPES |
| Washington | Other | 0293820001 | CIGNA MEDICARE |
| Washington | Other | 1597PR | CIGNA MEDICARE |
| Washington | Other | 0056910 | CIGNA MEDICARE |
| Washington | Other | VA5229 | CIGNA MEDICARE |
| Washington | MEDICAID | 8274391 | CIGNA MEDICARE |
| Washington | Other | 0196005 | CIGNA MEDICARE |
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