Douglas, Michael L
Douglas, Michael L is an individual health care provider with primary practice located at 200 New York Ave Ste 250 , Oak Ridge TN 37830-5227. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Douglas, Michael L can be contacted via phone (865) 835-5880.Contact Information
Primary practice address
200 New York Ave Ste 250
Oak Ridge TN 37830-5227
Phone: (865) 835-5880
Fax: (865) 374-2009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | TN0000003191 | Tennessee |
Profile Details
| NPI number | 1902169543 |
|---|---|
| LBN Legal business name | Douglas, Michael L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2012 |
| Last updated | Oct 19th, 2023 - about 3 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 | 1902169543 | NPPES |
| Tennessee | MEDICAID | Q030847 |
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