Douglas, Jon C

Douglas, Jon C is an individual health care provider with primary practice located at 1975 Willow Dr University Of Wisconsin Speech And Hearing Clinic, Madison WI 53706-1103. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Douglas, Jon C can be contacted via phone (608) 263-5804.

Contact Information

Primary practice address
1975 Willow Dr University Of Wisconsin Speech And Hearing Clinic Madison WI 53706-1103
Phone: (608) 263-5804
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 500-156 Wisconsin

Profile Details

NPI number 1922071083
LBN Legal business name Douglas, Jon C
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Jun 24th, 2024 - about last year

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 1922071083 NPPES
Wisconsin Other 60633 DEAN HEALTH INSURANCE
Wisconsin MEDICAID 41153000 DEAN HEALTH INSURANCE

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