Black, Douglass Woodrow

Black, Douglass Woodrow is an individual health care provider with primary practice located at 1650 Cochrane Cir Bldg 7503 , Fort Carson CO 80913-4613. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports is his primary health care specialty. Black, Douglass Woodrow can be contacted via phone (719) 526-7120.

Contact Information

Primary practice address
1650 Cochrane Cir Bldg 7503 Fort Carson CO 80913-4613
Phone: (719) 526-7120
Fax: (719) 526-7072
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT.0001799 Colorado
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X PTL.0007135 Colorado

Profile Details

NPI number 1710025085
LBN Legal business name Black, Douglass Woodrow
Credentials PT, DPT, ATC, CSCS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated Jun 5th, 2024 - about last year

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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