Swinehart, Douglas Robert

Swinehart, Douglas Robert is an individual health care provider with primary practice located at 6335 N Fresno St Suite 201, Fresno CA 93710-5272. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Swinehart, Douglas Robert can be contacted via phone (559) 432-1212.

Contact Information

Primary practice address
6335 N Fresno St Suite 201 Fresno CA 93710-5272
Phone: (559) 432-1212
Fax: (559) 432-6669
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X G415040 California
Allopathic & Osteopathic Physicians / Dermatology 207N00000X G415040 California
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X G415040 California

Profile Details

NPI number 1144214230
LBN Legal business name Swinehart, Douglas Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Jun 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144214230 NPPES
California MEDICAID 00G415040

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