Stoltzfus, Douglas A

Stoltzfus, Douglas A is an individual health care provider with primary practice located at 1102 W Pratt Blvd Apt 3E, Chicago IL 60626-4453. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stoltzfus, Douglas A can be contacted via phone (773) 764-4967.

Contact Information

Primary practice address
1102 W Pratt Blvd Apt 3E Chicago IL 60626-4453
Phone: (773) 764-4967
Fax: (773) 764-4967
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Illinois

Profile Details

NPI number 1295722742
LBN Legal business name Stoltzfus, Douglas A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Jul 8th, 2007 - about 19 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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