Spotts, Douglas Alan
Spotts, Douglas Alan is an individual health care provider with primary practice located at 11110 Medical Campus Rd Ste 200 , Hagerstown MD 21742-6797. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Spotts, Douglas Alan can be contacted via phone (301) 714-4400.Contact Information
Primary practice address
11110 Medical Campus Rd Ste 200
Hagerstown MD 21742-6797
Phone: (301) 714-4400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | D84905 | Maryland |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD058238L | Pennsylvania |
Profile Details
| NPI number | 1710954797 |
|---|---|
| LBN Legal business name | Spotts, Douglas Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Dec 11th, 2019 - about 6 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 | 1710954797 | NPPES |
| Pennsylvania | MEDICAID | 0015761540005 |
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