Wigton, Douglas

Wigton, Douglas is an individual health care provider with primary practice located at 3271 Racquet Club Dr , Traverse City MI 49684-4708. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Wigton, Douglas can be contacted via phone (231) 735-8006.

Contact Information

Primary practice address
3271 Racquet Club Dr Traverse City MI 49684-4708
Fax: (231) 735-8023
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 5101007426 Michigan

Profile Details

NPI number 1184600116
LBN Legal business name Wigton, Douglas
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Sep 30th, 2020 - about 5 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 1184600116 NPPES
Michigan MEDICAID 2100506

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