Ezell, Douglas T.

Ezell, Douglas T. is an individual health care provider with primary practice located at 1611 Zimmerman Trl , Billings MT 59102-7652. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Ezell, Douglas T. can be contacted via phone (406) 248-3607.

Contact Information

Primary practice address
1611 Zimmerman Trl Billings MT 59102-7652
Phone: (406) 248-3607
Fax: (406) 248-8919
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4623 Montana

Profile Details

NPI number 1710912514
LBN Legal business name Ezell, Douglas T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated May 7th, 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 1710912514 NPPES
Montana MEDICAID 063765
Montana MEDICAID 105841000
Montana Other 160029899

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