Douglass, Chloe Carolyn
Douglass, Chloe Carolyn is an sole proprietor health care provider with primary practice located at 955 Broadway , Bangor ME 04401-2918. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Douglass, Chloe Carolyn can be contacted via phone (207) 990-4388.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1669055588 |
|---|---|
| LBN Legal business name | Douglass, Chloe Carolyn |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 29th, 2021 |
| Last updated | Apr 29th, 2021 - about 4 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 | 1669055588 | NPPES |
| Maine | MEDICAID | 1417949678 |
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