Smith, Douglas C

Smith, Douglas C is an individual health care provider with primary practice located at 2900 Providence Dr , Anchorage AK 99508-5756. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Smith, Douglas C can be contacted via phone (907) 345-0728.

Contact Information

Primary practice address
2900 Providence Dr Anchorage AK 99508-5756
Phone: (907) 345-0728
Fax: (907) 345-0728
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 2227 Alaska

Profile Details

NPI number 1285602508
LBN Legal business name Smith, Douglas C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2006
Last updated Sep 2nd, 2010 - about 16 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 1285602508 NPPES
Other 920128597 FEDERAL TAX ID
Other A0328 FEDERAL TAX ID
MEDICAID MD0658 FEDERAL TAX ID

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