Douglas, John William

Douglas, John William is an individual health care provider with primary practice located at 15190 Community Rd Suite 220, Gulfport MS 39503-3485. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Douglas, John William can be contacted via phone (228) 539-3356.

Contact Information

Primary practice address
15190 Community Rd Suite 220 Gulfport MS 39503-3485
Phone: (228) 539-3356
Fax: (228) 539-3225
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 08130 Mississippi
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 8130 Mississippi
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 8130 Mississippi

Profile Details

NPI number 1972530335
LBN Legal business name Douglas, John William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Apr 10th, 2023 - about last year

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 1972530335 NPPES
Mississippi MEDICAID 00019714
Mississippi Other 08130

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