Sigmon, Douglas
Sigmon, Douglas is an individual health care provider with primary practice located at 7915 Lake Manassas Dr Ste 102 , Gainesville VA 20155-3259. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sigmon, Douglas can be contacted via phone (703) 754-4101.Contact Information
Primary practice address
7915 Lake Manassas Dr Ste 102
Gainesville VA 20155-3259
Phone: (703) 754-4101
Fax: (703) 754-1105
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101221400 | Virginia |
Profile Details
| NPI number | 1780670679 |
|---|---|
| LBN Legal business name | Sigmon, Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2005 |
| Last updated | Sep 28th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780670679 | NPPES |
| Other | 2209624 | AETNA HMO | |
| Other | 5615775 | AETNA HMO | |
| Other | 244972 | AETNA HMO | |
| Other | F532 0003 | AETNA HMO | |
| MEDICAID | 5629446 | AETNA HMO |
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