Dengerink, Douglas Dean

Dengerink, Douglas Dean is an individual health care provider with primary practice located at 6699 Alvarado Rd Suite 2100, San Diego CA 92120-5244. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Dengerink, Douglas Dean can be contacted via phone (619) 229-3909.

Contact Information

Primary practice address
6699 Alvarado Rd Suite 2100 San Diego CA 92120-5244
Phone: (619) 229-3909
Fax: (619) 229-3902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 20A9206 California

Profile Details

NPI number 1598761413
LBN Legal business name Dengerink, Douglas Dean
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Sep 13th, 2012 - about 14 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 1598761413 NPPES
California Other GL046Z MEDICARE PTAN

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