Smith, Douglas James
Smith, Douglas James is an sole proprietor health care provider with primary practice located at 205 Ocean Ave , Portland ME 04103-5712. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Smith, Douglas James can be contacted via phone (207) 773-7993.Contact Information
Primary practice address
205 Ocean Ave
Portland ME 04103-5712
Phone: (207) 773-7993
Fax: (207) 773-5512
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 00974 | Maine |
Profile Details
| NPI number | 1700940798 |
|---|---|
| LBN Legal business name | Smith, Douglas James |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 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 | 1700940798 | NPPES |
| Maine | Other | 047305 | ANTHEM |
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