Douglas, Chad James
Douglas, Chad James is an sole proprietor health care provider with primary practice located at 5000 E Market St Ste 5 , Warren OH 44484-2259. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Douglas, Chad James can be contacted via phone (330) 394-2020.Contact Information
Primary practice address
5000 E Market St Ste 5
Warren OH 44484-2259
Phone: (330) 394-2020
Fax: (330) 395-7194
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5523T2435 | Ohio |
Profile Details
| NPI number | 1609858240 |
|---|---|
| LBN Legal business name | Douglas, Chad James |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Dec 16th, 2009 - about 15 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 | 1609858240 | NPPES |
| Ohio | MEDICAID | 2982116 |
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