Horan, Douglas B

Horan, Douglas B is an individual health care provider with primary practice located at 1550 Midway Pl , Menasha WI 54952-1165. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Horan, Douglas B can be contacted via phone (920) 727-8153.

Contact Information

Primary practice address
1550 Midway Pl Menasha WI 54952-1165
Phone: (920) 727-8153
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 28242 Wisconsin
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 28242 Wisconsin

Profile Details

NPI number 1063406965
LBN Legal business name Horan, Douglas B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Oct 1st, 2020 - about 6 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 1063406965 NPPES
Wisconsin MEDICAID 30798400

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