Dougan, Kathryn
Dougan, Kathryn is an sole proprietor health care provider with primary practice located at 910 N Jefferson St , Jacksonville FL 32209-6810. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Case Manager/Care Coordinator, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist is her primary health care specialty. Dougan, Kathryn can be contacted via phone (904) 360-7022.Contact Information
Primary practice address
910 N Jefferson St
Jacksonville FL 32209-6810
Phone: (904) 360-7022
Fax: (904) 798-4545
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
Other Service Providers / Case Manager/Care Coordinator | 171M00000X | 171MOOOOOX | Florida |
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | 811704700 | Florida |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X |
Profile Details
NPI number | 1568580330 |
---|---|
LBN Legal business name | Dougan, Kathryn |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 27th, 2007 |
Last updated | Mar 13th, 2019 - about 6 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 | 1568580330 | NPPES |
Florida | MEDICAID | 811704700 |
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