Whelan, Douglas M

Whelan, Douglas M is an sole proprietor health care provider with primary practice located at 790 14Th Ave , Longview WA 98632. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Whelan, Douglas M can be contacted via phone (360) 423-2450.

Contact Information

Primary practice address
790 14Th Ave Longview WA 98632
Phone: (360) 423-2450
Fax: (360) 425-4969
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD00026709 Washington
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 26709 Washington

Profile Details

NPI number 1588607485
LBN Legal business name Whelan, Douglas M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2006
Last updated Aug 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588607485 NPPES
Washington MEDICAID 1150119

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