Zang, Douglas Michael

Zang, Douglas Michael is an individual health care provider with primary practice located at 302 W Seneca St , Ithaca NY 14850-4130. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Zang, Douglas Michael can be contacted via phone (607) 697-0360.

Contact Information

Primary practice address
302 W Seneca St Ithaca NY 14850-4130
Phone: (607) 697-0360
Fax: (607) 272-0240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD20050192 New Mexico
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 264891-1 New York

Profile Details

NPI number 1043209885
LBN Legal business name Zang, Douglas Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Jul 9th, 2012 - about 13 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 1043209885 NPPES
Colorado MEDICAID 88870570
Colorado MEDICAID 87020530
Colorado MEDICAID 945579

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