Cheatham, Douglas Ray
Cheatham, Douglas Ray is an sole proprietor health care provider with primary practice located at 100 N College Suite 302, Waxahachie TX 75165-3702. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Cheatham, Douglas Ray can be contacted via phone (214) 207-5664.Contact Information
Primary practice address
100 N College Suite 302
Waxahachie TX 75165-3702
Phone: (214) 207-5664
Fax: (888) 765-7459
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 22513 | Texas |
Profile Details
| NPI number | 1477691418 |
|---|---|
| LBN Legal business name | Cheatham, Douglas Ray |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 2nd, 2007 |
| Last updated | Mar 23rd, 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 | 1477691418 | NPPES |
| Texas | Other | 751993921 | INTEGRATED MENTAL HEALTH SERVICES |
| Texas | MEDICAID | 098373602 | INTEGRATED MENTAL HEALTH SERVICES |
| Texas | Other | 81960P | INTEGRATED MENTAL HEALTH SERVICES |
| Texas | Other | 126296 | INTEGRATED MENTAL HEALTH SERVICES |
| Texas | Other | 7365201 | INTEGRATED MENTAL HEALTH SERVICES |
| Texas | Other | 751993021 | INTEGRATED MENTAL HEALTH SERVICES |
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