Douglass, David
Douglass, David is an individual health care provider with primary practice located at 1 Childrens Way # 512-10 , Little Rock AR 72202-3500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Douglass, David can be contacted via phone (501) 364-1494.Contact Information
Primary practice address
1 Childrens Way # 512-10
Little Rock AR 72202-3500
Phone: (501) 364-1494
Fax: (501) 364-3634
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 9900477 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | E-12032 | Arkansas |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | E-12032 | Arkansas |
Profile Details
| NPI number | 1639145741 |
|---|---|
| LBN Legal business name | Douglass, David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Mar 28th, 2023 - about 2 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 | 1639145741 | NPPES |
| North Carolina | Other | 895159 | MAMSI |
| North Carolina | Other | 562034548 | MAMSI |
| North Carolina | Other | 31605 | MAMSI |
| North Carolina | Other | 1216X | MAMSI |
| North Carolina | Other | 7428011 | MAMSI |
| North Carolina | Other | 88655 | MAMSI |
| North Carolina | Other | 23702 | MAMSI |
| North Carolina | MEDICAID | 891216X | MAMSI |
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