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
Phone: (269) 903-2835
Fax: (269) 903-2838
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 4704341949 | Michigan |
| Nursing Service Providers / Flight | 163WF0300X | 90980 | Hawaii |
| Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine | 363LC0200X | 52167 | Wyoming |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 52167 | Wyoming |
| Nursing Service Providers / Emergency | 163WE0003X | 52167 | Wyoming |
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 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811689144 | NPPES |
| Other | 8741312240 | NRCME-DOT |
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