Douglas, Michael Kirk

Douglas, Michael Kirk is an sole proprietor health care provider with primary practice located at 1303 Kent Avenue , Baltimore MD 21207-4828. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Douglas, Michael Kirk can be contacted via phone (410) 719-7408.

Contact Information

Primary practice address
1303 Kent Avenue Baltimore MD 21207-4828
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X AC0626 Maryland

Profile Details

NPI number 1437203544
LBN Legal business name Douglas, Michael Kirk
Credentials M.H.S., CAC-AD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2007
Last updated Jul 8th, 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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