Schreck, Douglas Edward
Schreck, Douglas Edward is an individual health care provider with primary practice located at 201 S Buena Vista St Suite 100, Burbank CA 91505-4569. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Schreck, Douglas Edward can be contacted via phone (818) 848-6404.Contact Information
Primary practice address
201 S Buena Vista St Suite 100
Burbank CA 91505-4569
Phone: (818) 848-6404
Fax: (818) 848-7112
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | G42723 | California |
Profile Details
| NPI number | 1568558245 |
|---|---|
| LBN Legal business name | Schreck, Douglas Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Jul 1st, 2015 - about 11 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 | 1568558245 | NPPES |
| California | Other | W2223C | PTAN |
| California | MEDICAID | 00G427230 | PTAN |
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