Douglass, J Kirk

Douglass, J Kirk is an individual health care provider with primary practice located at 10740 Meridian Ave N Ste G2, Seattle WA 98133-9010. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is his primary health care specialty. Douglass, J Kirk can be contacted via phone (206) 363-7790.

Contact Information

Primary practice address
10740 Meridian Ave N Ste G2 Seattle WA 98133-9010
Phone: (206) 363-7790
Fax: (206) 363-7688
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X OI00000062 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X PS00000063 Washington

Profile Details

NPI number 1275539264
LBN Legal business name Douglass, J Kirk
Credentials C.P.O.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Apr 29th, 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 1275539264 NPPES
Washington MEDICAID 8418840

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