Stigge, Douglas Kent

Stigge, Douglas Kent is an sole proprietor health care provider with primary practice located at 1202 Moro St , Manhattan KS 66502-5353. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Stigge, Douglas Kent can be contacted via phone (785) 539-6051.

Contact Information

Primary practice address
1202 Moro St Manhattan KS 66502-5353
Fax: (785) 539-6074
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1161-3 Kansas

Profile Details

NPI number 1104859065
LBN Legal business name Stigge, Douglas Kent
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2006
Last updated May 26th, 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 1104859065 NPPES
Kansas MEDICAID 100091190A
Kansas Other 480922478
Kansas Other 704711 PAYER #90060
Kansas MEDICAID 100091190B

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