Streich, Douglas Don
Streich, Douglas Don is an sole proprietor health care provider with primary practice located at 105 East Jefferson Blvd. Suite 500, South Bend IN 46601-1914. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Streich, Douglas Don can be contacted via phone (574) 232-4453.Contact Information
Primary practice address
105 East Jefferson Blvd. Suite 500
South Bend IN 46601-1914
Phone: (574) 232-4453
Fax: (574) 232-7718
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 20040374 | Indiana |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 20040374A | Indiana |
Profile Details
| NPI number | 1326015660 |
|---|---|
| LBN Legal business name | Streich, Douglas Don |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 7th, 2006 |
| Last updated | Oct 28th, 2010 - about 14 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 | 1326015660 | NPPES |
| Indiana | MEDICAID | 200008780A |
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