Bryant, Douglas Harold
Bryant, Douglas Harold is an individual health care provider with primary practice located at 3500 Coffee Rd Ste 3, Modesto CA 95355-1344. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Bryant, Douglas Harold can be contacted via phone (209) 342-2300.Contact Information
Primary practice address
3500 Coffee Rd Ste 3
Modesto CA 95355-1344
Phone: (209) 342-2300
Fax: (209) 524-4240
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT5578 | California |
Profile Details
| NPI number | 1073504486 |
|---|---|
| LBN Legal business name | Bryant, Douglas Harold |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1073504486 | NPPES |
| California | Other | 00PT55780 | BLUE SHIELD |
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