Mottley, Douglas M

Mottley, Douglas M is an individual health care provider with primary practice located at 2201 Lexington Ave Suite 8B, Ashland KY 41101-2843. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mottley, Douglas M can be contacted via phone (606) 327-5190.

Contact Information

Primary practice address
2201 Lexington Ave Suite 8B Ashland KY 41101-2843
Fax: (606) 327-6693
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X TP680 Kentucky

Profile Details

NPI number 1013930361
LBN Legal business name Mottley, Douglas M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jul 8th, 2007 - about 19 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 1013930361 NPPES
Kentucky Other 40409 LICENSE

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