Douglas, Sue Ann
Douglas, Sue Ann is an individual health care provider with primary practice located at 2001 Shawnee Mission Pkwy Ste 130 , Mission Woods KS 66205-2060. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Douglas, Sue Ann can be contacted via phone (913) 228-2000.Contact Information
Primary practice address
2001 Shawnee Mission Pkwy Ste 130
Mission Woods KS 66205-2060
Phone: (913) 228-2000
Fax: (855) 354-0963
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | M7958 | Texas |
Profile Details
| NPI number | 1497750731 |
|---|---|
| LBN Legal business name | Douglas, Sue Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2005 |
| Last updated | Apr 1st, 2020 - about 6 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 | 1497750731 | NPPES |
| Texas | MEDICAID | 194491002 |
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