Wornell, Douglas P
Wornell, Douglas P is an sole proprietor health care provider with primary practice located at 3309 56Th St Ste 106, Gig Harbor WA 98335-8580. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Wornell, Douglas P can be contacted via phone (253) 804-8259.Contact Information
Primary practice address
3309 56Th St Ste 106
Gig Harbor WA 98335-8580
Phone: (253) 804-8259
Fax: (253) 804-8258
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD00034867 | Washington |
Profile Details
| NPI number | 1447343850 |
|---|---|
| LBN Legal business name | Wornell, Douglas P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 30th, 2006 |
| Last updated | Aug 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447343850 | NPPES |
| Washington | Other | WO9746 | REGENCE RIDER NUMBER |
| Washington | MEDICAID | 1101419 | REGENCE RIDER NUMBER |
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