Douglas, Phillip R
Douglas, Phillip R is an sole proprietor health care provider with primary practice located at 4850 Keystone Xing , Eau Claire WI 54701-5076. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Douglas, Phillip R can be contacted via phone (715) 855-1020.Contact Information
Primary practice address
4850 Keystone Xing
Eau Claire WI 54701-5076
Phone: (715) 855-1020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 12011180A | Indiana |
| Dental Providers / Dentist | 122300000X | 6330 | Wisconsin |
Profile Details
| NPI number | 1982858247 |
|---|---|
| LBN Legal business name | Douglas, Phillip R |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 12th, 2008 |
| Last updated | Apr 15th, 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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