Buyer, Douglas Michael
Buyer, Douglas Michael is an sole proprietor health care provider with primary practice located at 1438 W 38Th St , Erie PA 16508-2324. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is his primary health care specialty. Buyer, Douglas Michael can be contacted via phone (814) 315-4054.Contact Information
Primary practice address
1438 W 38Th St
Erie PA 16508-2324
Phone: (814) 315-4054
Fax: (814) 281-3061
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PS006323L | Pennsylvania |
| Behavioral Health & Social Service Providers / Health Service | 103TH0100X | PS-006323-L | Pennsylvania |
Profile Details
| NPI number | 1891790358 |
|---|---|
| LBN Legal business name | Buyer, Douglas Michael |
| Credentials | PHD, LLC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 20th, 2005 |
| Last updated | Nov 27th, 2018 - about 7 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 | 1891790358 | NPPES |
| Pennsylvania | MEDICAID | 01486280 | |
| Pennsylvania | Other | 1891790358 |
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