Necaise, William Douglas

Necaise, William Douglas is an individual health care provider with primary practice located at 2640 Sorrel Ridge Rd , Crestview FL 32536-4329. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Necaise, William Douglas can be contacted via phone (251) 623-1350.

Contact Information

Primary practice address
2640 Sorrel Ridge Rd Crestview FL 32536-4329
Phone: (251) 623-1350
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9351385 Florida

Profile Details

NPI number 1083967756
LBN Legal business name Necaise, William Douglas
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2012
Last updated Jul 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083967756 NPPES
Florida MEDICAID 007184600
Florida Other GS419Z

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