Fownes, Douglas R

Fownes, Douglas R is an individual health care provider with primary practice located at 723 Park Ridge Ln , North Fond Du Lac WI 54937-1385. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fownes, Douglas R can be contacted via phone (920) 926-8600.

Contact Information

Primary practice address
723 Park Ridge Ln North Fond Du Lac WI 54937-1385
Phone: (920) 926-8600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21386 Wisconsin

Profile Details

NPI number 1487645966
LBN Legal business name Fownes, Douglas R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Mar 3rd, 2016 - about 10 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 1487645966 NPPES
Wisconsin Other 080076569 RAILROAD MEDICARE
Wisconsin MEDICAID 30204900 RAILROAD MEDICARE

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