Lawrence, Douglas M
Lawrence, Douglas M is an individual health care provider with primary practice located at 614 Division St # 19 , Port Orchard WA 98366-4614. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Lawrence, Douglas M can be contacted via phone (360) 337-4625.Contact Information
Primary practice address
614 Division St # 19
Port Orchard WA 98366-4614
Phone: (360) 337-4625
Fax: (360) 337-4704
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 60866603 | Washington |
Profile Details
| NPI number | 1750852869 |
|---|---|
| LBN Legal business name | Lawrence, Douglas M |
| Credentials | CDP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 16th, 2018 |
| Last updated | Dec 16th, 2018 - about 8 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 | 1750852869 | NPPES |
| Washington | MEDICAID | 072364 |
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