Hyde, Douglas Keith

Hyde, Douglas Keith is an individual health care provider with primary practice located at 299 Carew St Suite 419, Springfield MA 01104-2301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Hyde, Douglas Keith can be contacted via phone (413) 737-7951.

Contact Information

Primary practice address
299 Carew St Suite 419 Springfield MA 01104-2301
Phone: (413) 737-7951
Fax: (413) 747-0443
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 52499 Massachusetts

Profile Details

NPI number 1164520169
LBN Legal business name Hyde, Douglas Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Dec 12th, 2013 - about 13 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 1164520169 NPPES
Massachusetts MEDICAID 6182992

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