Michael, Douglas

Michael, Douglas is an individual health care provider with primary practice located at 305 1St St E , Conover NC 28613-1715. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Michael, Douglas can be contacted via phone (828) 464-3821.

Contact Information

Primary practice address
305 1St St E Conover NC 28613-1715
Phone: (828) 464-3821
Fax: (828) 464-8994
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 25060 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25060 North Carolina

Profile Details

NPI number 1174503593
LBN Legal business name Michael, Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Mar 7th, 2023 - about 3 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 1174503593 NPPES
North Carolina MEDICAID 8958778
North Carolina Other CN8132

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