Howard, Dwight Douglas

Howard, Dwight Douglas is an individual health care provider with primary practice located at 14128 Calvert St #310, Van Nuys CA 91401-3473. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Howard, Dwight Douglas can be contacted via phone (818) 901-4836.

Contact Information

Primary practice address
14128 Calvert St #310 Van Nuys CA 91401-3473
Phone: (818) 901-4836
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1376674986
LBN Legal business name Howard, Dwight Douglas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Dec 20th, 2015 - about 11 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 1376674986 NPPES
California MEDICAID 7420
California MEDICAID 7068

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