Opie, Douglas
Opie, Douglas is an sole proprietor health care provider with primary practice located at 110 S Mesa Dr #4, Mesa AZ 85210-1458. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Opie, Douglas can be contacted via phone (480) 833-8863.Contact Information
Primary practice address
110 S Mesa Dr #4
Mesa AZ 85210-1458
Phone: (480) 833-8863
Fax: (480) 464-5516
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3686 | Arizona |
Profile Details
| NPI number | 1336100437 |
|---|---|
| LBN Legal business name | Opie, Douglas |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 29th, 2006 |
| Last updated | May 20th, 2008 - about 18 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 | 1336100437 | NPPES |
| Arizona | Other | AY4433 | HEALTH NET |
| Arizona | Other | AZ00082250 | HEALTH NET |
| Arizona | MEDICAID | 543919001 | HEALTH NET |
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