Schreck, Douglas Edward

Schreck, Douglas Edward is an individual health care provider with primary practice located at 201 S Buena Vista St Suite 100, Burbank CA 91505-4569. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Schreck, Douglas Edward can be contacted via phone (818) 848-6404.

Contact Information

Primary practice address
201 S Buena Vista St Suite 100 Burbank CA 91505-4569
Fax: (818) 848-7112
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X G42723 California

Profile Details

NPI number 1568558245
LBN Legal business name Schreck, Douglas Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jul 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568558245 NPPES
California Other W2223C PTAN
California MEDICAID 00G427230 PTAN

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