West, Douglas Brian
West, Douglas Brian is an sole proprietor health care provider with primary practice located at 1545 Fort Harrison Rd , Terre Haute IN 47804-1332. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. West, Douglas Brian can be contacted via phone (812) 460-0520.Contact Information
Primary practice address
1545 Fort Harrison Rd
Terre Haute IN 47804-1332
Phone: (812) 460-0520
Fax: (812) 460-0407
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 18002092 | Indiana |
Profile Details
NPI number | 1295774719 |
---|---|
LBN Legal business name | West, Douglas Brian |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 6th, 2006 |
Last updated | Jun 4th, 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 | 1295774719 | NPPES |
Indiana | MEDICAID | 100251250 |
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