Pannette, Douglas Paul

Pannette, Douglas Paul is an sole proprietor health care provider with primary practice located at 8000 Town Centre Dr Suite 300, Broadview Heights OH 44147-4030. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Pannette, Douglas Paul can be contacted via phone (440) 627-6962.

Contact Information

Primary practice address
8000 Town Centre Dr Suite 300 Broadview Heights OH 44147-4030
Phone: (440) 627-6962
Fax: (440) 627-6963
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X I0008711 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801059153 Michigan

Profile Details

NPI number 1275518896
LBN Legal business name Pannette, Douglas Paul
Credentials LISW-S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2005
Last updated Mar 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275518896 NPPES
Ohio Other 515293 VALUE OPTIONS
Ohio Other 094872000 VALUE OPTIONS

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