Morr, Douglas Jay

Morr, Douglas Jay is an individual health care provider with primary practice located at 375 N Wall St Ste P310 , Kankakee IL 60901-3484. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Morr, Douglas Jay can be contacted via phone (815) 933-0194.

Contact Information

Primary practice address
375 N Wall St Ste P310 Kankakee IL 60901-3484
Phone: (815) 933-0194
Fax: (815) 936-3847
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036068556 Illinois

Profile Details

NPI number 1548371537
LBN Legal business name Morr, Douglas Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Oct 21st, 2019 - about 7 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 1548371537 NPPES
Illinois MEDICAID 036068556

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