Wigton, Douglas
Wigton, Douglas is an individual health care provider with primary practice located at 3271 Racquet Club Dr , Traverse City MI 49684-4708. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Wigton, Douglas can be contacted via phone (231) 735-8006.Contact Information
Primary practice address
3271 Racquet Club Dr
Traverse City MI 49684-4708
Phone: (231) 735-8006
Fax: (231) 735-8023
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 5101007426 | Michigan |
Profile Details
| NPI number | 1184600116 |
|---|---|
| LBN Legal business name | Wigton, Douglas |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2005 |
| Last updated | Sep 30th, 2020 - about 6 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 | 1184600116 | NPPES |
| Michigan | MEDICAID | 2100506 |
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