Irwin, Douglas G
Irwin, Douglas G is an individual health care provider with primary practice located at 94 Marie Langdon Dr Suite 2, Manchester KY 40962-6353. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Irwin, Douglas G can be contacted via phone (606) 599-9955.Contact Information
Primary practice address
94 Marie Langdon Dr Suite 2
Manchester KY 40962-6353
Phone: (606) 599-9955
Fax: (606) 599-9966
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 38637 | Kentucky |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 38637 | Kentucky |
Profile Details
| NPI number | 1538115621 |
|---|---|
| LBN Legal business name | Irwin, Douglas G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | May 27th, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538115621 | NPPES |
| Kentucky | MEDICAID | 64081466 |
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