Bruce G Douglass Phd Pc

LBN: Bruce G Douglass Phd Pc
Bruce G Douglass Phd Pc is an health care organization with primary practice located at 5088 Village Lane Ct , Traverse City MI 49685-6924. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Family, which is considered as the primary health care specialty. Bruce G Douglass Phd Pc can be contacted via phone (231) 342-5877, or through Douglass, Bruce G via phone (231) 342-5877.

Contact Information

Primary practice address
5088 Village Lane Ct Traverse City MI 49685-6924
Phone: (231) 342-5877
Fax: (231) 943-2108
Website:
Map and Directions
Authorized official contact:
Name: Douglass, Bruce G PHD
Phone: (231) 342-5877

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Family 103TF0000X 6301003193 Michigan

Profile Details

NPI number 1659513208
LBN Legal business name Bruce G Douglass Phd Pc
DBA Doing business as
Authorized official Douglass, Bruce G PHD
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2009
Last updated Feb 27th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659513208 NPPES
Michigan Other 680B84509 BCBSM

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