Pflaum, Douglas David
Pflaum, Douglas David is an individual health care provider with primary practice located at 507 W Doughty St , Lake City MN 55041-1500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Pflaum, Douglas David can be contacted via phone (651) 345-2350.Contact Information
Primary practice address
507 W Doughty St
Lake City MN 55041-1500
Phone: (651) 345-2350
Fax: (651) 345-2238
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 27015 | Minnesota |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 26415 | Wisconsin |
Profile Details
| NPI number | 1538145156 |
|---|---|
| LBN Legal business name | Pflaum, Douglas David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2005 |
| Last updated | Aug 18th, 2016 - 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 | 1538145156 | NPPES |
| Other | 0113153 | MEDICA | |
| Other | MH9101008902 | MEDICA | |
| Other | 118098 | MEDICA | |
| Other | 49A85PF | MEDICA | |
| Other | 080123675 | MEDICA | |
| MEDICAID | 336370800 | MEDICA |
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