Deprofio, Douglas J
Deprofio, Douglas J is an individual health care provider with primary practice located at 931 Chatham Ln , Columbus OH 43221-2417. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Deprofio, Douglas J can be contacted via phone (614) 533-5500.Contact Information
Primary practice address
931 Chatham Ln
Columbus OH 43221-2417
Phone: (614) 533-5500
Fax: (614) 533-5593
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 50-001909 | Ohio |
Profile Details
| NPI number | 1871587071 |
|---|---|
| LBN Legal business name | Deprofio, Douglas J |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2005 |
| Last updated | Jan 25th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871587071 | NPPES |
| Ohio | MEDICAID | 0068078 |
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