Douglass, Jeffrey
Douglass, Jeffrey is an sole proprietor health care provider with primary practice located at 613 S Dollar St , Coeur D Alene ID 83814-3828. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Douglass, Jeffrey can be contacted via phone (208) 667-8387.Contact Information
Primary practice address
613 S Dollar St
Coeur D Alene ID 83814-3828
Phone: (208) 667-8387
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW-1207 | Idaho |
Profile Details
| NPI number | 1669647863 |
|---|---|
| LBN Legal business name | Douglass, Jeffrey |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 28th, 2008 |
| Last updated | Apr 28th, 2008 - about 16 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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