Abraham, Douglas Johan

Abraham, Douglas Johan is an individual health care provider with primary practice located at 1634 Gull Rd , Kalamazoo MI 49048-1632. He recently has 5 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Flight, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Emergency. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Abraham, Douglas Johan can be contacted via phone (269) 903-2835.

Contact Information

Primary practice address
1634 Gull Rd Kalamazoo MI 49048-1632
Fax: (269) 903-2838
Website:

Profile Details

NPI number 1811689144
LBN Legal business name Abraham, Douglas Johan
Credentials APRN, FNP-C, ENP-C,
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2023
Last updated May 27th, 2024 - about 4 months 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 1811689144 NPPES
Other 8741312240 NRCME-DOT

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