Davis, Douglas Harold
Davis, Douglas Harold is an individual health care provider with primary practice located at 697 Pro-Med Ln , Carmel IN 46032-5323. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Davis, Douglas Harold can be contacted via phone (317) 574-0055.Contact Information
Primary practice address
697 Pro-Med Ln
Carmel IN 46032-5323
Phone: (317) 574-0055
Fax: (317) 674-0059
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34000970A | Indiana |
Profile Details
| NPI number | 1215936117 |
|---|---|
| LBN Legal business name | Davis, Douglas Harold |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2005 |
| Last updated | May 10th, 2011 - about 15 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 | 1215936117 | NPPES |
| Indiana | MEDICAID | 100073590 |
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