Gaither, Douglas Hamilton

Gaither, Douglas Hamilton is an sole proprietor health care provider with primary practice located at 5820 Belle Ave , Davenport IA 52807-2782. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Gaither, Douglas Hamilton can be contacted via phone (615) 516-4291.

Contact Information

Primary practice address
5820 Belle Ave Davenport IA 52807-2782
Phone: (615) 516-4291
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 38712 Iowa
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036.126675 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 11044 Tennessee
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 44100 Colorado

Profile Details

NPI number 1316948987
LBN Legal business name Gaither, Douglas Hamilton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2005
Last updated May 16th, 2014 - about 11 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 1316948987 NPPES
Illinois Other 036.126675 MEDICAL LICENSE NUMBER
Illinois Other 38712 MEDICAL LICENSE NUMBER
Illinois Other 2008425 MEDICAL LICENSE NUMBER
Illinois Other 11044 MEDICAL LICENSE NUMBER
Illinois Other 44100 MEDICAL LICENSE NUMBER

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