Drake, Douglas A.

Drake, Douglas A. is an individual health care provider with primary practice located at 2900 12Th Ave N Ste 140W , Billings MT 59101-7507. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Drake, Douglas A. can be contacted via phone (406) 237-5050.

Contact Information

Primary practice address
2900 12Th Ave N Ste 140W Billings MT 59101-7507
Phone: (406) 237-5050
Fax: (406) 272-3395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 5432 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA60162605 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 114160 Montana

Profile Details

NPI number 1770817348
LBN Legal business name Drake, Douglas A.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2009
Last updated Dec 29th, 2023 - about 2 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 1770817348 NPPES
Arizona MEDICAID 835649
Arizona Other 1086241

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