Douglas, Lydia Mariah
Douglas, Lydia Mariah is an individual health care provider with primary practice located at 1453 Redwood Cir , Grants Pass OR 97527-5523. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Douglas, Lydia Mariah can be contacted via phone (541) 916-8333.Contact Information
Primary practice address
1453 Redwood Cir
Grants Pass OR 97527-5523
Phone: (541) 916-8333
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | DEM-LD-10208453 | Oregon |
Profile Details
| NPI number | 1295350809 |
|---|---|
| LBN Legal business name | Douglas, Lydia Mariah |
| Credentials | CPM, LDM |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2020 |
| Last updated | Jun 9th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295350809 | NPPES |
| Other | 20060005 | NORTH AMERICAN REGISTRY OF MIDWIVES | |
| Other | DEM-LD-10208453 | NORTH AMERICAN REGISTRY OF MIDWIVES |
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