Smith, Douglas C
Smith, Douglas C is an individual health care provider with primary practice located at 2900 Providence Dr , Anchorage AK 99508-5756. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Smith, Douglas C can be contacted via phone (907) 345-0728.Contact Information
Primary practice address
2900 Providence Dr
Anchorage AK 99508-5756
Phone: (907) 345-0728
Fax: (907) 345-0728
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 2227 | Alaska |
Profile Details
NPI number | 1285602508 |
---|---|
LBN Legal business name | Smith, Douglas C |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 11th, 2006 |
Last updated | Sep 2nd, 2010 - about 15 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 | 1285602508 | NPPES |
Other | 920128597 | FEDERAL TAX ID | |
Other | A0328 | FEDERAL TAX ID | |
MEDICAID | MD0658 | FEDERAL TAX ID |
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