Douglas, Michael L

Douglas, Michael L is an individual health care provider with primary practice located at 4140 Nw 12Th St , Lauderhill FL 33313-5816. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Douglas, Michael L can be contacted via phone (954) 739-3331.

Contact Information

Primary practice address
4140 Nw 12Th St Lauderhill FL 33313-5816
Phone: (954) 739-3331
Fax: (954) 792-4520
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH5191 Florida

Profile Details

NPI number 1407853088
LBN Legal business name Douglas, Michael L
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Nov 8th, 2010 - about 16 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 1407853088 NPPES
Florida MEDICAID 380472100
Florida Other 70861

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