| Douglas A Dunlap, Do, Inc | |
|
667 Eastland Ave Se Warren OH 44484-4503 | |
| (330) 841-4000 | |
| Not Available |
| Full Name | Douglas A Dunlap, Do, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 667 Eastland Ave Se, Warren, Ohio |
| Authorized Official Name and Position | Robin P Dunlap (OFFICE MANAGER) |
| Authorized Official Contact | 3308568109 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas A Dunlap, Do, Inc 1900 Hidden Lakes Dr Ne Warren OH 44484-4154 Ph: (330) 856-8109 | Douglas A Dunlap, Do, Inc 667 Eastland Ave Se Warren OH 44484-4503 Ph: (330) 841-4000 |
| NPI Number | 1265505655 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 05/16/2024 |
| Medicare PECOS PAC ID | 0648278614 |
|---|---|
| Medicare Enrollment ID | O20061129000551 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265505655 | NPI | - | NPPES |
| 0652137 | Medicaid | OH | |
| 1265505655 | Other | CORPORATE NPI | |
| 34-00-3463-D | Other | OH | STATE MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 34-00-3463-D (Ohio) | Primary |
| Provider Name | Douglas A Dunlap |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215921358 PECOS PAC ID: 3274531249 Enrollment ID: I20090915000064 |
| Provider Name | Ismail Umar Husain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497115059 PECOS PAC ID: 4789003500 Enrollment ID: I20200929000890 |
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