Douglas, Christie

Douglas, Christie is an sole proprietor health care provider with primary practice located at 7005 Bobtail Dr , Shreveport LA 71129-3417. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Prevention Professional, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Douglas, Christie can be contacted via phone (318) 465-9539.

Contact Information

Primary practice address
7005 Bobtail Dr Shreveport LA 71129-3417
Phone: (318) 465-9539
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prevention Professional 405300000X 000000000 Louisiana
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1801334842
LBN Legal business name Douglas, Christie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2017
Last updated May 16th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1801334842 NPPES
Louisiana MEDICAID 00000000000

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