Bellamy, Douglas
Bellamy, Douglas is an individual health care provider with primary practice located at 17762 Preston Rd , Dallas TX 75252-5736. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Bellamy, Douglas can be contacted via phone (972) 404-8888.Contact Information
Primary practice address
17762 Preston Rd
Dallas TX 75252-5736
Phone: (972) 404-8888
Fax: (972) 208-2412
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 21998 | Texas |
Profile Details
NPI number | 1962533489 |
---|---|
LBN Legal business name | Bellamy, Douglas |
Credentials | EDD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 8th, 2007 |
Last updated | Apr 5th, 2013 - about 11 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 | 1962533489 | NPPES |
Texas | MEDICAID | 038966001 | |
Texas | Other | 4108749 | |
Texas | Other | 81618P | |
Texas | Other | 21998 | |
Texas | Other | OP21998 |
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