Douglas, Barbara M

Douglas, Barbara M is an sole proprietor health care provider with primary practice located at 11991 Taylor Wells Rd , Chardon OH 44024-7900. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Douglas, Barbara M can be contacted via phone (440) 724-0722.

Contact Information

Primary practice address
11991 Taylor Wells Rd Chardon OH 44024-7900
Phone: (440) 724-0722
Fax: (440) 635-0046
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 197187 Ohio

Profile Details

NPI number 1891788923
LBN Legal business name Douglas, Barbara M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2005
Last updated Apr 19th, 2013 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891788923 NPPES
Ohio MEDICAID 2053843

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