Douglass, Barbara Ann

Douglass, Barbara Ann is an individual health care provider with primary practice located at 1411 E 31St St , Oakland CA 94602-1018. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Douglass, Barbara Ann can be contacted via phone (510) 437-4323.

Contact Information

Primary practice address
1411 E 31St St Oakland CA 94602-1018
Fax: (510) 437-5042
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 663 California

Profile Details

NPI number 1821177379
LBN Legal business name Douglass, Barbara Ann
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Jul 9th, 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 1821177379 NPPES
California MEDICAID NMW0066300

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