Howard, Dwight Douglas
Howard, Dwight Douglas is an individual health care provider with primary practice located at 14128 Calvert St #310, Van Nuys CA 91401-3473. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Howard, Dwight Douglas can be contacted via phone (818) 901-4836.Contact Information
Primary practice address
14128 Calvert St #310
Van Nuys CA 91401-3473
Phone: (818) 901-4836
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1376674986 |
|---|---|
| LBN Legal business name | Howard, Dwight Douglas |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2007 |
| Last updated | Dec 20th, 2015 - about 9 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 | 1376674986 | NPPES |
| California | MEDICAID | 7420 | |
| California | MEDICAID | 7068 |
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