Diata, Douglas T
Diata, Douglas T is an sole proprietor health care provider with primary practice located at 2 Michigan Ave W Suite 200, Battle Creek MI 49017-3609. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Diata, Douglas T can be contacted via phone (269) 968-9355.Contact Information
Primary practice address
2 Michigan Ave W Suite 200
Battle Creek MI 49017-3609
Phone: (269) 968-9355
Fax: (269) 968-9366
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2301008317 | Michigan |
Profile Details
| NPI number | 1114099983 |
|---|---|
| LBN Legal business name | Diata, Douglas T |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Nov 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114099983 | NPPES |
| Michigan | Other | 95-0-A3-5020-0 | BLUE CROSS BLUE SHIELD |
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