Puryear, Douglas A
Puryear, Douglas A is an sole proprietor health care provider with primary practice located at 4 Camino De Vecinos , Santa Fe NM 87507-7901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Puryear, Douglas A can be contacted via phone (505) 982-9337.Contact Information
Primary practice address
4 Camino De Vecinos
Santa Fe NM 87507-7901
Phone: (505) 982-9337
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 90-96 | New Mexico |
Profile Details
| NPI number | 1053399204 |
|---|---|
| LBN Legal business name | Puryear, Douglas A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 7th, 2006 |
| Last updated | Jun 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053399204 | NPPES |
| New Mexico | MEDICAID | 30816 | |
| New Mexico | Other | 100647 |
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