Pugar, Kenneth Douglas

Pugar, Kenneth Douglas is an sole proprietor health care provider with primary practice located at 405 W Grand Ave , Dayton OH 45405-4720. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Pugar, Kenneth Douglas can be contacted via phone (937) 723-3564.

Contact Information

Primary practice address
405 W Grand Ave Dayton OH 45405-4720
Phone: (937) 723-3564
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 / Neurology 2084N0400X 34.012511 Ohio

Profile Details

NPI number 1174961874
LBN Legal business name Pugar, Kenneth Douglas
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2013
Last updated Jul 11th, 2024 - about last year

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 1174961874 NPPES
Ohio MEDICAID 0221548

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