Douglas, Cortney D
Douglas, Cortney D is an sole proprietor health care provider with primary practice located at 8203 Nw 31St Ave Apt E29 , Gainesville FL 32606. She recently has 5 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Nursing Service Related Providers / Adult Companion, Respite Care Facility / Respite Care, Mental Illness, Child, Respite Care Facility / Respite Care, Physical Disabilities, Child, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities is her primary health care specialty. Douglas, Cortney D can be contacted via phone (352) 870-1268.Contact Information
Primary practice address
8203 Nw 31St Ave Apt E29
Gainesville FL 32606
Phone: (352) 870-1268
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | ||
| Nursing Service Related Providers / Adult Companion | 372600000X | 008397800 | Florida |
| Respite Care Facility / Respite Care, Mental Illness, Child | 385HR2055X | 008397800 | Florida |
| Respite Care Facility / Respite Care, Physical Disabilities, Child | 385HR2065X | 008397800 | Florida |
| Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities | 385HR2060X | 008397800 | Florida |
Profile Details
| NPI number | 1568708139 |
|---|---|
| LBN Legal business name | Douglas, Cortney D |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2012 |
| Last updated | Jun 10th, 2018 - about 8 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 | 1568708139 | NPPES |
| Florida | MEDICAID | 008397800 |
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