Macqueen, Douglas D

Macqueen, Douglas D is an individual health care provider with primary practice located at 16 Brentwood Dr , Ithaca NY 14850-1863. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Macqueen, Douglas D can be contacted via phone (607) 241-1118.

Contact Information

Primary practice address
16 Brentwood Dr Ithaca NY 14850-1863
Phone: (607) 241-1118
Fax: (607) 257-2923
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X EC-06-1069 Maine
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 018144 Maine
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 018144 Maine
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 265017 New York

Profile Details

NPI number 1427129543
LBN Legal business name Macqueen, Douglas D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2006
Last updated Jul 6th, 2012 - about 14 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 1427129543 NPPES
New Hampshire MEDICAID 30208728
New Hampshire MEDICAID 434249299

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