Macleod, Douglas Dority
Macleod, Douglas Dority is an sole proprietor health care provider with primary practice located at 53 Court St , Plymouth MA 02360-3822. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Macleod, Douglas Dority can be contacted via phone (508) 746-8880.Contact Information
Primary practice address
53 Court St
Plymouth MA 02360-3822
Phone: (508) 746-8880
Fax: (508) 746-5752
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 2044 | Massachusetts |
Profile Details
| NPI number | 1245368802 |
|---|---|
| LBN Legal business name | Macleod, Douglas Dority |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Aug 5th, 2015 - about 10 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 | 1245368802 | NPPES |
| Massachusetts | Other | 0280120001 | PTAN |
| Massachusetts | MEDICAID | 110028513A | PTAN |
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