Shadle, Douglas James
Shadle, Douglas James is an individual health care provider with primary practice located at 425 Cross St Suite 116, Punta Gorda FL 33950-4872. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Forensic Psychiatry is his primary health care specialty. Shadle, Douglas James can be contacted via phone (941) 639-4248.Contact Information
Primary practice address
425 Cross St Suite 116
Punta Gorda FL 33950-4872
Phone: (941) 639-4248
Fax: (941) 639-8002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Forensic Psychiatry | 2084F0202X | ME76084 | Florida |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ME76084 | Florida |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | ME76084 | Florida |
Profile Details
| NPI number | 1558376905 |
|---|---|
| LBN Legal business name | Shadle, Douglas James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1558376905 | NPPES |
| Washington | Other | MD19739 | HLTH PROF QUAL ASSURANCE |
| Washington | Other | ME76084 | HLTH PROF QUAL ASSURANCE |
Popular Providers
-
Kapuchinski, Stanley
25166 Marion Ave Ste 111 , Punta Gorda FL 33950-4052 -
Radish, Douglas E.
24420 Sandhill Blvd Unit 101, Punta Gorda FL 33983-5272 -
Davis, Nora Ann
25097 Olympia Ave Suite 202, Punta Gorda FL 33950-3912 -
Byrne, Alexander James
514 E Grace St , Punta Gorda FL 33950-6121 -
Lane, Sandra Evelyn
315 E Olympia Ave Unit 211 , Punta Gorda FL 33950-3823 -
Fortunato, Diane L
2412 Quirt Ln , Punta Gorda FL 33983-2627 -
Janz, Timothy Allen
522 E Marion Ave , Punta Gorda FL 33950-3875 -
Woodruff, David Aaron
100 Madrid Blvd Unit 414 , Punta Gorda FL 33950-8929