Douglas, Christine
Douglas, Christine is an sole proprietor health care provider with primary practice located at 16566 Newhope St , Fountain Valley CA 92708-2403. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Douglas, Christine can be contacted via phone (714) 663-6554.Contact Information
Primary practice address
16566 Newhope St
Fountain Valley CA 92708-2403
Phone: (714) 663-6554
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X |
Profile Details
| NPI number | 1710400213 |
|---|---|
| LBN Legal business name | Douglas, Christine |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2017 |
| Last updated | Jul 17th, 2017 - 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 | 1710400213 | NPPES |
| Other | 110002301 | NATA BOC |
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