Slater, Douglas Kenneth

Slater, Douglas Kenneth is an individual health care provider with primary practice located at 901 N Winstead Ave , Rocky Mount NC 27804-8467. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Slater, Douglas Kenneth can be contacted via phone (252) 937-0235.

Contact Information

Primary practice address
901 N Winstead Ave Rocky Mount NC 27804-8467
Phone: (252) 937-0235
Fax: (252) 937-3103
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 33425 North Carolina

Profile Details

NPI number 1578557393
LBN Legal business name Slater, Douglas Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Nov 9th, 2023 - about 2 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 1578557393 NPPES
North Carolina MEDICAID 897679V
North Carolina Other 110124024
North Carolina Other 6930356
North Carolina Other 69724
North Carolina Other 7679V

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