Amenaghawon, Douglas

Amenaghawon, Douglas is an individual health care provider with primary practice located at 545 Estudillo Ave , San Leandro CA 94577-4611. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Amenaghawon, Douglas can be contacted via phone (510) 586-8535.

Contact Information

Primary practice address
545 Estudillo Ave San Leandro CA 94577-4611
Phone: (510) 586-8535
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1699012344
LBN Legal business name Amenaghawon, Douglas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2013
Last updated Jan 14th, 2013 - about 13 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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