Duffy, Douglas

Duffy, Douglas is an individual health care provider with primary practice located at 520 N Monte Vista St Ste C , Ada OK 74820-4674. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Duffy, Douglas can be contacted via phone (580) 272-0018.

Contact Information

Primary practice address
520 N Monte Vista St Ste C Ada OK 74820-4674
Phone: (580) 272-0018
Fax: (580) 272-0657
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 5601002737 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 407 Oklahoma

Profile Details

NPI number 1184707457
LBN Legal business name Duffy, Douglas
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Aug 26th, 2019 - about 7 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 1184707457 NPPES
Oklahoma MEDICAID 200194390A

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