Douglass, Janet L

Douglass, Janet L is an individual health care provider with primary practice located at 12 Meadowlake Rd , Blair SC 29015-8997. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Douglass, Janet L can be contacted via phone (803) 945-7595.

Contact Information

Primary practice address
12 Meadowlake Rd Blair SC 29015-8997
Phone: (803) 945-7595
Fax: (803) 945-7596
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 26995 South Carolina

Profile Details

NPI number 1417929134
LBN Legal business name Douglass, Janet L
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Aug 9th, 2013 - about 13 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 1417929134 NPPES
South Carolina MEDICAID FQC030
South Carolina MEDICAID FQC043
South Carolina MEDICAID NP0733

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