Douglas, Gregory Edward

Douglas, Gregory Edward is an sole proprietor health care provider with primary practice located at 9281 Office Park Cir 120, Elk Grove CA 95758-8068. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Douglas, Gregory Edward can be contacted via phone (916) 896-1650.

Contact Information

Primary practice address
9281 Office Park Cir 120 Elk Grove CA 95758-8068
Phone: (916) 896-1650
Fax: (916) 896-1959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X C39164 California

Profile Details

NPI number 1194799650
LBN Legal business name Douglas, Gregory Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2006
Last updated Aug 7th, 2013 - about 13 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 1194799650 NPPES
California MEDICAID 00C391640
California MEDICAID 00C391641

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