Blaine, Douglas J.
Blaine, Douglas J. is an individual health care provider with primary practice located at 1242 W Chester Pike Suite 200, West Chester PA 19382-5657. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Blaine, Douglas J. can be contacted via phone (484) 266-0084.Contact Information
Primary practice address
1242 W Chester Pike Suite 200
West Chester PA 19382-5657
Phone: (484) 266-0084
Fax: (484) 266-0103
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | PC007918 | Pennsylvania |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | PC007918 | Pennsylvania |
Profile Details
NPI number | 1750605556 |
---|---|
LBN Legal business name | Blaine, Douglas J. |
Credentials | M.S., LPC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 23rd, 2010 |
Last updated | Nov 10th, 2015 - about 9 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.
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