Douglas, Joe
Douglas, Joe is an individual health care provider with primary practice located at 200 Maine Suite A, Lawrence KS 66044-1368. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Douglas, Joe can be contacted via phone (785) 843-9192.Contact Information
Primary practice address
200 Maine Suite A
Lawrence KS 66044-1368
Phone: (785) 843-9192
Fax: (785) 856-9191
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 0417815 | Kansas |
Profile Details
| NPI number | 1194796011 |
|---|---|
| LBN Legal business name | Douglas, Joe |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2006 |
| Last updated | May 23rd, 2018 - about 7 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 | 1194796011 | NPPES |
| Kansas | MEDICAID | 100097940A |
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