Kimmel, Douglas J

Kimmel, Douglas J is an individual health care provider with primary practice located at 305 S State St , Aberdeen SD 57401-4527. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Kimmel, Douglas J can be contacted via phone (605) 622-5000.

Contact Information

Primary practice address
305 S State St Aberdeen SD 57401-4527
Phone: (605) 622-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 3940 South Dakota

Profile Details

NPI number 1922044239
LBN Legal business name Kimmel, Douglas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Nov 16th, 2011 - about 15 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 1922044239 NPPES
North Dakota Other 21258 BCBS
North Dakota MEDICAID 18453 BCBS
North Dakota MEDICAID 7201012 BCBS
North Dakota Other 0008378 BCBS
North Dakota MEDICAID 099816800 BCBS

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