Raskin, Douglas Jay

Raskin, Douglas Jay is an individual health care provider with primary practice located at 559 E Pikes Peak Ave #209, Colorado Springs CO 80903-3651. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Raskin, Douglas Jay can be contacted via phone (719) 578-9988.

Contact Information

Primary practice address
559 E Pikes Peak Ave #209 Colorado Springs CO 80903-3651
Phone: (719) 578-9988
Fax: (719) 578-9976
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 25809 Colorado

Profile Details

NPI number 1053376152
LBN Legal business name Raskin, Douglas Jay
Credentials M.D., D.M.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Oct 15th, 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 1053376152 NPPES
Colorado MEDICAID 01258094

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