Hall, Douglas Keith
Hall, Douglas Keith is an sole proprietor health care provider with primary practice located at 2214 Boll St , Dallas TX 75204-2694. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Hall, Douglas Keith can be contacted via phone (214) 662-3523.Contact Information
Primary practice address
2214 Boll St
Dallas TX 75204-2694
Phone: (214) 662-3523
Fax: (972) 404-4441
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 30749 | Texas |
Profile Details
| NPI number | 1447292297 |
|---|---|
| LBN Legal business name | Hall, Douglas Keith |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Aug 12th, 2013 - about 11 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 | 1447292297 | NPPES |
| Texas | MEDICAID | 148771203 |
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