Ross, Douglas L.

Ross, Douglas L. is an individual health care provider with primary practice located at 1000 Harrington St , Mount Clemens MI 48043-2920. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Ross, Douglas L. can be contacted via phone (586) 493-8098.

Contact Information

Primary practice address
1000 Harrington St Mount Clemens MI 48043-2920
Phone: (586) 493-8098
Fax: (586) 493-8706
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 5101005626 Michigan

Profile Details

NPI number 1558392837
LBN Legal business name Ross, Douglas L.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Jul 9th, 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 1558392837 NPPES
Michigan MEDICAID 3524765
Michigan Other 3155015635

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