Vildibill, Harry Douglas
Vildibill, Harry Douglas is an sole proprietor health care provider with primary practice located at 425 W 3Rd Ave Suite 400, Albany GA 31701-1941. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Vildibill, Harry Douglas can be contacted via phone (229) 883-6311.Contact Information
Primary practice address
425 W 3Rd Ave Suite 400
Albany GA 31701-1941
Phone: (229) 883-6311
Fax: (229) 883-6315
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 045654 | Georgia |
Profile Details
| NPI number | 1194702290 |
|---|---|
| LBN Legal business name | Vildibill, Harry Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2005 |
| Last updated | Dec 22nd, 2009 - about 17 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 | 1194702290 | NPPES |
| Georgia | MEDICAID | 00792096A |
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