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:
Health care specialties
Specialty | Code | License # | 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 3 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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