Col, Douglas A
Col, Douglas A is an sole proprietor health care provider with primary practice located at 542 Washington St Ste 200, Ashland OR 97520. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Col, Douglas A can be contacted via phone (541) 488-6941.Contact Information
Primary practice address
542 Washington St Ste 200
Ashland OR 97520
Phone: (541) 488-6941
Fax: (541) 488-6951
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1346 | Oregon |
Profile Details
| NPI number | 1093939944 |
|---|---|
| LBN Legal business name | Col, Douglas A |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Oct 27th, 2016 - about 9 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 | 1093939944 | NPPES |
| Oregon | MEDICAID | 295715 | |
| Oregon | Other | R106323 |
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