Douglas, Roy
Douglas, Roy is an individual health care provider with primary practice located at 1235 Mcherney A And B, Modesto CA 95350-9411. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Douglas, Roy can be contacted via phone (209) 507-5559.Contact Information
Primary practice address
1235 Mcherney A And B
Modesto CA 95350-9411
Phone: (209) 507-5559
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | California | |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1041C0700X. | California |
Profile Details
| NPI number | 1407229248 |
|---|---|
| LBN Legal business name | Douglas, Roy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2015 |
| Last updated | Jan 9th, 2024 - about 2 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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