Douglas, Matthew S

Douglas, Matthew S is an individual health care provider with primary practice located at 50 Forest Falls Dr Suite 2, Yarmouth ME 04096-6937. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Douglas, Matthew S can be contacted via phone (207) 846-8725.

Contact Information

Primary practice address
50 Forest Falls Dr Suite 2 Yarmouth ME 04096-6937
Phone: (207) 846-8725
Fax: (207) 846-8728
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT1176 Maine

Profile Details

NPI number 1982672671
LBN Legal business name Douglas, Matthew S
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1982672671 NPPES
Maine Other 060023 ANTHEM BCBS
Maine Other 2756063001 ANTHEM BCBS
Maine Other 626281 ANTHEM BCBS

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