West, Douglas Brian

West, Douglas Brian is an sole proprietor health care provider with primary practice located at 1545 Fort Harrison Rd , Terre Haute IN 47804-1332. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. West, Douglas Brian can be contacted via phone (812) 460-0520.

Contact Information

Primary practice address
1545 Fort Harrison Rd Terre Haute IN 47804-1332
Phone: (812) 460-0520
Fax: (812) 460-0407
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18002092 Indiana

Profile Details

NPI number 1295774719
LBN Legal business name West, Douglas Brian
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2006
Last updated Jun 4th, 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 1295774719 NPPES
Indiana MEDICAID 100251250

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