Babcock, Douglas
Babcock, Douglas is an sole proprietor health care provider with primary practice located at 505 N Wabash Ave , Marion IN 46952-2608. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Babcock, Douglas can be contacted via phone (765) 662-3971.Contact Information
Primary practice address
505 N Wabash Ave
Marion IN 46952-2608
Phone: (765) 662-3971
Fax: (765) 668-6718
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 20041618A | Indiana |
Profile Details
| NPI number | 1346232386 |
|---|---|
| LBN Legal business name | Babcock, Douglas |
| Credentials | HSPP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2005 |
| Last updated | Apr 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346232386 | NPPES |
| Indiana | MEDICAID | 200317560 |
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