Douglas, Joe

Douglas, Joe is an individual health care provider with primary practice located at 200 Maine Suite A, Lawrence KS 66044-1368. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Douglas, Joe can be contacted via phone (785) 843-9192.

Contact Information

Primary practice address
200 Maine Suite A Lawrence KS 66044-1368
Fax: (785) 856-9191
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0417815 Kansas

Profile Details

NPI number 1194796011
LBN Legal business name Douglas, Joe
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated May 23rd, 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 1194796011 NPPES
Kansas MEDICAID 100097940A

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