Tew, Douglas Michael
Tew, Douglas Michael is an sole proprietor health care provider with primary practice located at 2035 Professional Ctr Dr Suite C, Orange Park FL 32073. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Tew, Douglas Michael can be contacted via phone (904) 272-0384.Contact Information
Primary practice address
2035 Professional Ctr Dr Suite C
Orange Park FL 32073
Phone: (904) 272-0384
Fax: (904) 272-6748
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME0051021 | Florida |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 32882 | North Carolina |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ME0051021 | Florida |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 32882 | North Carolina |
Profile Details
| NPI number | 1568429769 |
|---|---|
| LBN Legal business name | Tew, Douglas Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 1st, 2006 |
| Last updated | Oct 12th, 2010 - about 14 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 | 1568429769 | NPPES |
| Florida | MEDICAID | 048089400 |
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