Douglas, Janis Marie
Douglas, Janis Marie is an sole proprietor health care provider with primary practice located at 42 Valley Rd , Middletown RI 02842-6400. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Douglas, Janis Marie can be contacted via phone (401) 431-9870.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MHC 00265 | Rhode Island |
Profile Details
| NPI number | 1396720496 |
|---|---|
| LBN Legal business name | Douglas, Janis Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 12th, 2005 |
| Last updated | Feb 19th, 2020 - about 4 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 | 1396720496 | NPPES |
| Rhode Island | Other | 412885 | BLUE CHIP |
| Rhode Island | Other | 29911-2 | BLUE CHIP |
| Rhode Island | MEDICAID | JK52562 | BLUE CHIP |
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