Douglas, Cortney D

Douglas, Cortney D is an sole proprietor health care provider with primary practice located at 8203 Nw 31St Ave Apt E29 , Gainesville FL 32606. She recently has 5 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Nursing Service Related Providers / Adult Companion, Respite Care Facility / Respite Care, Mental Illness, Child, Respite Care Facility / Respite Care, Physical Disabilities, Child, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities is her primary health care specialty. Douglas, Cortney D can be contacted via phone (352) 870-1268.

Contact Information

Primary practice address
8203 Nw 31St Ave Apt E29 Gainesville FL 32606
Fax:
Website:

Profile Details

NPI number 1568708139
LBN Legal business name Douglas, Cortney D
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2012
Last updated Jun 10th, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568708139 NPPES
Florida MEDICAID 008397800

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