States, Douglas J

States, Douglas J is an sole proprietor health care provider with primary practice located at 209 Mcneel Ln , North Platte NE 69101-6054. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. States, Douglas J can be contacted via phone (308) 534-8383.

Contact Information

Primary practice address
209 Mcneel Ln North Platte NE 69101-6054
Fax: (308) 534-5670
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 19182 Nebraska

Profile Details

NPI number 1407899669
LBN Legal business name States, Douglas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2006
Last updated Nov 17th, 2009 - about 16 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 1407899669 NPPES
Nebraska MEDICAID 10025295700

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