Deyoung, Douglas Bruce
Deyoung, Douglas Bruce is an sole proprietor health care provider with primary practice located at 313 W Drake Rd , Fort Collins CO 80526-2846. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Deyoung, Douglas Bruce can be contacted via phone (970) 482-8881.Contact Information
Primary practice address
313 W Drake Rd
Fort Collins CO 80526-2846
Phone: (970) 482-8881
Fax: (970) 482-9646
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 27536 | Colorado |
Profile Details
| NPI number | 1811989064 |
|---|---|
| LBN Legal business name | Deyoung, Douglas Bruce |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Nov 18th, 2015 - about 11 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 | 1811989064 | NPPES |
| Colorado | MEDICAID | 1275361 | |
| Colorado | Other | DE27536 |
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