Pearson, Douglas

Pearson, Douglas is an sole proprietor health care provider with primary practice located at 3551 W Antelope Rd , Moore ID 83255-8754. He recently has 2 registered licenses in different health care specialties including Transportation Services / Secured Medical Transport (VAN), Transportation Services / Non-emergency Medical Transport (VAN). Transportation Services / Non-emergency Medical Transport (VAN) is his primary health care specialty. Pearson, Douglas can be contacted via phone (208) 680-5339.

Contact Information

Primary practice address
3551 W Antelope Rd Moore ID 83255-8754
Phone: (208) 680-5339
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Secured Medical Transport (VAN) 343800000X NS102890G Idaho
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X NS102890G Idaho

Profile Details

NPI number 1750827549
LBN Legal business name Pearson, Douglas
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2017
Last updated Jan 17th, 2017 - about 9 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 1750827549 NPPES
Idaho MEDICAID 06142016715702

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