Douglas, Martin K.

Douglas, Martin K. is an individual health care provider with primary practice located at 313 Maccorkle Ave Sw , Charleston WV 25303-1263. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as his primary health care specialty. Douglas, Martin K. can be contacted via phone (304) 744-2300.

Contact Information

Primary practice address
313 Maccorkle Ave Sw Charleston WV 25303-1263
Phone: (304) 744-2300
Fax: (304) 744-5891
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 366 West Virginia

Profile Details

NPI number 1417976283
LBN Legal business name Douglas, Martin K.
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Aug 27th, 2007 - about 17 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 1417976283 NPPES
Other 1417976283 NPI
MEDICAID 3810000217 NPI
Other 000000217244 NPI

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