Douglas, Brian C

Douglas, Brian C is an individual health care provider with primary practice located at 2001 W 86Th St , Indianapolis IN 46260-1902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Douglas, Brian C can be contacted via phone (317) 567-2180.

Contact Information

Primary practice address
2001 W 86Th St Indianapolis IN 46260-1902
Fax: (317) 567-2191
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01035591 Indiana

Profile Details

NPI number 1447233051
LBN Legal business name Douglas, Brian C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Dec 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447233051 NPPES
Indiana MEDICAID 100067490

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