Douglas, Mary Kathryn

Douglas, Mary Kathryn is an individual health care provider with primary practice located at 3074 N Us 31 S , Traverse City MI 49684-4533. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Douglas, Mary Kathryn can be contacted via phone (231) 929-1234.

Contact Information

Primary practice address
3074 N Us 31 S Traverse City MI 49684-4533
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MD003850 Michigan

Profile Details

NPI number 1114928637
LBN Legal business name Douglas, Mary Kathryn
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Aug 30th, 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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