Cipriano, Douglas Alan

Cipriano, Douglas Alan is an individual health care provider with primary practice located at 606 N. 3Rd Avenue Suite 201, Sandpoint ID 83864-1689. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Cipriano, Douglas Alan can be contacted via phone (208) 263-8597.

Contact Information

Primary practice address
606 N. 3Rd Avenue Suite 201 Sandpoint ID 83864-1689
Phone: (208) 263-8597
Fax: (208) 265-0667
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X M6568 Idaho

Profile Details

NPI number 1164597431
LBN Legal business name Cipriano, Douglas Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2006
Last updated Jul 1st, 2009 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1164597431 NPPES
Washington MEDICAID 8464828
Washington Other P00041410
Washington Other 360191400
Washington MEDICAID 1164597431
Washington Other 76559
Washington Other 000010000103
Washington MEDICAID 002777500
Washington Other 1009215

Popular Providers