Douglas, Gregory
Douglas, Gregory is an individual health care provider with primary practice located at 6451 Schaefer Rd , Dearborn MI 48126-2212. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Douglas, Gregory can be contacted via phone (313) 945-8138.Contact Information
Primary practice address
6451 Schaefer Rd
Dearborn MI 48126-2212
Phone: (313) 945-8138
Fax: (313) 203-3390
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6801101945 | Michigan |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 6801101945 | Michigan |
Profile Details
| NPI number | 1841707536 |
|---|---|
| LBN Legal business name | Douglas, Gregory |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2018 |
| Last updated | Apr 5th, 2021 - about 5 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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