Smith, Douglas Edward
Smith, Douglas Edward is an sole proprietor health care provider with primary practice located at 5431 E Mayflower Ln Suite 5, Wasilla AK 99654-7891. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Smith, Douglas Edward can be contacted via phone (907) 357-6860.Contact Information
Primary practice address
5431 E Mayflower Ln Suite 5
Wasilla AK 99654-7891
Phone: (907) 357-6860
Fax: (907) 357-6865
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1124321989 |
|---|---|
| LBN Legal business name | Smith, Douglas Edward |
| Credentials | BS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 16th, 2010 |
| Last updated | Dec 16th, 2010 - about 15 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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